| The Wildflower Collaborative | |
|
119 Sader Dr Ste 4 Inwood WV 25428-3915 | |
| (240) 406-9339 | |
| Not Available |
| Full Name | The Wildflower Collaborative |
|---|---|
| Speciality | Social Worker |
| Location | 119 Sader Dr Ste 4, Inwood, West Virginia |
| Authorized Official Name and Position | Rachel Rhiannon Davis (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2404069339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wildflower Collaborative 119 Sader Dr Ste 4 Inwood WV 25428-3915 Ph: (240) 406-9339 | The Wildflower Collaborative 119 Sader Dr Ste 4 Inwood WV 25428-3915 Ph: (240) 406-9339 |
| NPI Number | 1366134561 |
|---|---|
| Provider Enumeration Date | 05/24/2023 |
| Last Update Date | 07/21/2023 |
| Certification Date | 07/21/2023 |
| Medicare PECOS PAC ID | 0244694388 |
|---|---|
| Medicare Enrollment ID | O20230908000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366134561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rachel Rhiannon Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285257253 PECOS PAC ID: 1153785290 Enrollment ID: I20230908000180 |
Humankind Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 119 Sader Dr Ste 4, Inwood, WV 25428 Phone: 304-278-3010 | |
Winchester Community Mental Health Center, Inc., At The Carriage House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Hovatter Dr, Inwood, WV 25428 Phone: 540-535-1112 Fax: 540-535-1155 |