| Inner Wisdom Therapy And Healing Arts, Llc | |
|
420 Williamson Way Ashland OR 97520-1251 | |
| (541) 948-9243 | |
| (541) 631-2599 |
| Full Name | Inner Wisdom Therapy And Healing Arts, Llc |
|---|---|
| Speciality | Counselor |
| Location | 420 Williamson Way, Ashland, Oregon |
| Authorized Official Name and Position | Linda Kovolisky (OWNER) |
| Authorized Official Contact | 5419489243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Wisdom Therapy And Healing Arts, Llc Po Box 973 Talent OR 97540-0973 Ph: (541) 948-9243 | Inner Wisdom Therapy And Healing Arts, Llc 420 Williamson Way Ashland OR 97520-1251 Ph: (541) 948-9243 |
| NPI Number | 1437515160 |
|---|---|
| Provider Enumeration Date | 01/11/2016 |
| Last Update Date | 03/30/2017 |
| Medicare PECOS PAC ID | 6901174754 |
|---|---|
| Medicare Enrollment ID | O20170620000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437515160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Gabriella Amarei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609937283 PECOS PAC ID: 2769618073 Enrollment ID: I20170214002575 |
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