| Carpe Diem Self Improvement Center | |
|
5303 Adkisson Drive Cleveland TN 37312 | |
| (865) 214-7365 | |
| Not Available |
| Full Name | Carpe Diem Self Improvement Center |
|---|---|
| Speciality | Social Worker |
| Location | 5303 Adkisson Drive, Cleveland, Tennessee |
| Authorized Official Name and Position | Benjamin Ledwell Marlow (OWNER/OPERATOR) |
| Authorized Official Contact | 8652147365 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carpe Diem Self Improvement Center Po Box 21 Charleston TN 37310-0021 Ph: (865) 214-7365 | Carpe Diem Self Improvement Center 5303 Adkisson Drive Cleveland TN 37312 Ph: (865) 214-7365 |
| NPI Number | 1467158436 |
|---|---|
| Provider Enumeration Date | 02/01/2023 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/11/2023 |
| Medicare PECOS PAC ID | 0941672471 |
|---|---|
| Medicare Enrollment ID | O20230210000094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467158436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Benjamin Marlow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881212454 PECOS PAC ID: 8325465909 Enrollment ID: I20200827001313 |
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