Tapas Wellness | |
100 19th St Ste 102 Rock Island IL 61201-8022 | |
(309) 236-9553 | |
Not Available |
Full Name | Tapas Wellness |
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Speciality | Social Worker - Clinical |
Location | 100 19th St Ste 102, Rock Island, Illinois |
Authorized Official Name and Position | Evan Harris (PRESIDENT) |
Authorized Official Contact | 3092369553 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tapas Wellness 100 19th St Ste 102 Rock Island IL 61201-8022 Ph: (309) 236-9553 | Tapas Wellness 100 19th St Ste 102 Rock Island IL 61201-8022 Ph: (309) 236-9553 |
NPI Number | 1629584511 |
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Provider Enumeration Date | 12/14/2017 |
Last Update Date | 12/14/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629584511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149.019633 (Illinois) | Primary |
1041C0700X | Social Worker - Clinical | 008410 (Iowa) | Secondary |
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