Wise Minds Therapy, Pllc | |
3837 E Lake Ctr Ste 400 Quincy IL 62305-5803 | |
(217) 257-6257 | |
Not Available |
Full Name | Wise Minds Therapy, Pllc |
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Speciality | Social Worker |
Location | 3837 E Lake Ctr Ste 400, Quincy, Illinois |
Authorized Official Name and Position | Katherine A Saunders (OWNER) |
Authorized Official Contact | 2172576257 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wise Minds Therapy, Pllc 1618 Curtis Creek Rd Quincy IL 62301-6332 Ph: (217) 257-6257 | Wise Minds Therapy, Pllc 3837 E Lake Ctr Ste 400 Quincy IL 62305-5803 Ph: (217) 257-6257 |
NPI Number | 1447025572 |
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Provider Enumeration Date | 11/20/2023 |
Last Update Date | 05/02/2024 |
Certification Date | 05/02/2024 |
Medicare PECOS PAC ID | 3779027644 |
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Medicare Enrollment ID | O20240702003220 |
Identifier | Type | State | Issuer |
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1447025572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Katherine A Saunders |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1215357553 PECOS PAC ID: 4688897887 Enrollment ID: I20140515000815 |
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