| Internal Harmony Llc | |
|
9777 Mulligans Bluff Rd Defiance OH 43512-9751 | |
| (419) 202-5623 | |
| Not Available |
| Full Name | Internal Harmony Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9777 Mulligans Bluff Rd, Defiance, Ohio |
| Authorized Official Name and Position | Matthew Bradley (OWNER) |
| Authorized Official Contact | 4192025623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Harmony Llc 9777 Mulligans Bluff Rd Defiance OH 43512-9751 Ph: () - | Internal Harmony Llc 9777 Mulligans Bluff Rd Defiance OH 43512-9751 Ph: (419) 202-5623 |
| NPI Number | 1528899044 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Medicare PECOS PAC ID | 9436686300 |
|---|---|
| Medicare Enrollment ID | O20241217003420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528899044 | NPI | - | NPPES |
| 0013915 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Matthew Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831864974 PECOS PAC ID: 0345777215 Enrollment ID: I20241217003600 |
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