| In Your Element Therapy | |
|
200 Heritage Cir Apt 406 Canton GA 30114-5686 | |
| (954) 732-1158 | |
| Not Available |
| Full Name | In Your Element Therapy |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 200 Heritage Cir Apt 406, Canton, Georgia |
| Authorized Official Name and Position | Lisa Marie Sciandra (OWNER) |
| Authorized Official Contact | 9547321158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| In Your Element Therapy 200 Heritage Cir Apt 406 Canton GA 30114-5686 Ph: (954) 732-1158 | In Your Element Therapy 200 Heritage Cir Apt 406 Canton GA 30114-5686 Ph: (954) 732-1158 |
| NPI Number | 1558177295 |
|---|---|
| Provider Enumeration Date | 12/07/2024 |
| Last Update Date | 12/07/2024 |
| Certification Date | 12/07/2024 |
| Medicare PECOS PAC ID | 8527568757 |
|---|---|
| Medicare Enrollment ID | O20250822001429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558177295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
| Provider Name | Lisa Sciandra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689216350 PECOS PAC ID: 1153704267 Enrollment ID: I20230705000661 |
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