Therapy Redefined By Shelly Flachs | |
1632 Kentucky St Quincy IL 62301-4259 | |
(217) 430-8933 | |
Not Available |
Full Name | Therapy Redefined By Shelly Flachs |
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Speciality | Social Worker |
Location | 1632 Kentucky St, Quincy, Illinois |
Authorized Official Name and Position | Shelly Flachs (OWNER) |
Authorized Official Contact | 2174308933 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Therapy Redefined By Shelly Flachs 1632 Kentucky St Quincy IL 62301-4259 Ph: (217) 430-8933 | Therapy Redefined By Shelly Flachs 1632 Kentucky St Quincy IL 62301-4259 Ph: (217) 430-8933 |
NPI Number | 1952150849 |
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Provider Enumeration Date | 05/14/2024 |
Last Update Date | 11/01/2024 |
Certification Date | 10/31/2024 |
Medicare PECOS PAC ID | 1850837568 |
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Medicare Enrollment ID | O20240718000779 |
Identifier | Type | State | Issuer |
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1952150849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Shelly Flachs |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114288404 PECOS PAC ID: 0749401149 Enrollment ID: I20141029000548 |
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