| Missing Peace | |
|
101 N Plaza East Blvd Ste 312 Evansville IN 47715-2871 | |
| (812) 550-9219 | |
| (812) 901-6151 |
| Full Name | Missing Peace |
|---|---|
| Speciality | Social Worker |
| Location | 101 N Plaza East Blvd Ste 312, Evansville, Indiana |
| Authorized Official Name and Position | Christopher Graham (PRESIDENT) |
| Authorized Official Contact | 8125509219 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Missing Peace 1566 S Grand Ave Evansville IN 47713-2638 Ph: (812) 746-8785 | Missing Peace 101 N Plaza East Blvd Ste 312 Evansville IN 47715-2871 Ph: (812) 550-9219 |
| NPI Number | 1073254678 |
|---|---|
| Provider Enumeration Date | 04/06/2022 |
| Last Update Date | 02/23/2024 |
| Certification Date | 02/23/2024 |
| Medicare PECOS PAC ID | 7911389135 |
|---|---|
| Medicare Enrollment ID | O20220804003332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073254678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christopher Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497496004 PECOS PAC ID: 9739561952 Enrollment ID: I20220805000132 |
| Provider Name | Harold Seward Esty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881325645 PECOS PAC ID: 8820470040 Enrollment ID: I20220903000172 |
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