| Healing Bliss Counseling Llc | |
|
2006 1st Ave Dodge City KS 67801-2623 | |
| (620) 339-6910 | |
| (620) 371-7119 |
| Full Name | Healing Bliss Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 2006 1st Ave, Dodge City, Kansas |
| Authorized Official Name and Position | Elsa Paulina Zacapa - Reyes (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6203396910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Bliss Counseling Llc 2006 1st Ave Dodge City KS 67801-2623 Ph: (620) 339-6910 | Healing Bliss Counseling Llc 2006 1st Ave Dodge City KS 67801-2623 Ph: (620) 339-6910 |
| NPI Number | 1174274674 |
|---|---|
| Provider Enumeration Date | 01/16/2022 |
| Last Update Date | 01/16/2022 |
| Certification Date | 01/16/2022 |
| Medicare PECOS PAC ID | 9133562333 |
|---|---|
| Medicare Enrollment ID | O20240205002323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174274674 | NPI | - | NPPES |
| 100097930B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Elsa Paulina Zacapa-reyes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346614872 PECOS PAC ID: 0042653248 Enrollment ID: I20240205002687 |
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