| Equanimity You LLC | |
|
230 N Union St Smyrna DE 19977-1151 | |
| (646) 373-5527 | |
| Not Available |
| Full Name | Equanimity You LLC |
|---|---|
| Speciality | Social Worker |
| Location | 230 N Union St, Smyrna, Delaware |
| Authorized Official Name and Position | Jamy G. Rivera (OWNER) |
| Authorized Official Contact | 6463735527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Equanimity You LLC 230 N Union St Smyrna DE 19977-1151 Ph: (646) 373-5527 | Equanimity You LLC 230 N Union St Smyrna DE 19977-1151 Ph: (646) 373-5527 |
| NPI Number | 1265107544 |
|---|---|
| Provider Enumeration Date | 08/10/2021 |
| Last Update Date | 08/10/2021 |
| Certification Date | 08/10/2021 |
| Medicare PECOS PAC ID | 6204234974 |
|---|---|
| Medicare Enrollment ID | O20211011001191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265107544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Provider Name | Jamy G Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154608834 PECOS PAC ID: 7416213293 Enrollment ID: I20171110001351 |
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