| Inner Peace Therapy LLC | |
|
420 Main St Lafayette IN 47901-1326 | |
| (765) 202-2574 | |
| Not Available |
| Full Name | Inner Peace Therapy LLC |
|---|---|
| Speciality | Social Worker |
| Location | 420 Main St, Lafayette, Indiana |
| Authorized Official Name and Position | Stephanie Milan (OWNER) |
| Authorized Official Contact | 7653889560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Peace Therapy LLC Po Box 566 Delphi IN 46923-0566 | Inner Peace Therapy LLC 420 Main St Lafayette IN 47901-1326 Ph: (765) 202-2574 |
| NPI Number | 1154092369 |
|---|---|
| Provider Enumeration Date | 09/27/2021 |
| Last Update Date | 08/31/2022 |
| Certification Date | 08/31/2022 |
| Medicare PECOS PAC ID | 4183013857 |
|---|---|
| Medicare Enrollment ID | O20211118000984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154092369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Stephanie Milan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770191389 PECOS PAC ID: 0446649115 Enrollment ID: I20211118001126 |
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