| White Feather Therapy, Llc | |
|
1490 S Price Rd Ste 112 Chandler AZ 85286-6606 | |
| (480) 689-9211 | |
| Not Available |
| Full Name | White Feather Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1490 S Price Rd Ste 112, Chandler, Arizona |
| Authorized Official Name and Position | Lisa Carol Gilbert (OWNER, LCSW) |
| Authorized Official Contact | 4806899211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| White Feather Therapy, Llc 1490 S Price Rd Ste 112 Chandler AZ 85286-6606 Ph: (480) 689-9211 | White Feather Therapy, Llc 1490 S Price Rd Ste 112 Chandler AZ 85286-6606 Ph: (480) 689-9211 |
| NPI Number | 1629665922 |
|---|---|
| Provider Enumeration Date | 12/21/2020 |
| Last Update Date | 12/21/2020 |
| Certification Date | 12/21/2020 |
| Medicare PECOS PAC ID | 6709299738 |
|---|---|
| Medicare Enrollment ID | O20210111002499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629665922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lisa C Gilbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114496965 PECOS PAC ID: 6709124712 Enrollment ID: I20191112000171 |
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