| Hope And Healing Counseling Center Llc | |
|
555 W Pine St Farmington MO 63640-1439 | |
| (573) 330-8238 | |
| Not Available |
| Full Name | Hope And Healing Counseling Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 555 W Pine St, Farmington, Missouri |
| Authorized Official Name and Position | Michelle Lee Ramirez (OWNER/LCSW) |
| Authorized Official Contact | 5733308238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope And Healing Counseling Center Llc 615 John David Dr Farmington MO 63640-3016 Ph: (573) 330-3025 | Hope And Healing Counseling Center Llc 555 W Pine St Farmington MO 63640-1439 Ph: (573) 330-8238 |
| NPI Number | 1497231997 |
|---|---|
| Provider Enumeration Date | 07/17/2018 |
| Last Update Date | 07/17/2018 |
| Medicare PECOS PAC ID | 6103175799 |
|---|---|
| Medicare Enrollment ID | O20180815000462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497231997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2007010459 (Missouri) | Primary |
| Provider Name | Michelle L Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336155613 PECOS PAC ID: 7315045077 Enrollment ID: I20070605000196 |
| Provider Name | Robin L Gipson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326053893 PECOS PAC ID: 5395829782 Enrollment ID: I20080225000080 |
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