| Miracles Healing Centers Inc | |
|
111 Kilson Dr. Suite 201 Mooresville NC 28117 | |
| (704) 664-1009 | |
| (704) 664-1029 |
| Full Name | Miracles Healing Centers Inc |
|---|---|
| Speciality | Counselor |
| Location | 111 Kilson Dr., Mooresville, North Carolina |
| Authorized Official Name and Position | Sheryl Marinelli (OWNER) |
| Authorized Official Contact | 7046641009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miracles Healing Centers Inc 111 Kilson Dr. Suite 201 Mooresville NC 28117 Ph: (704) 664-1009 | Miracles Healing Centers Inc 111 Kilson Dr. Suite 201 Mooresville NC 28117 Ph: (704) 664-1009 |
| NPI Number | 1962597732 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 09/02/2021 |
| Certification Date | 09/02/2021 |
| Medicare PECOS PAC ID | 8729273594 |
|---|---|
| Medicare Enrollment ID | O20101108000319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962597732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Patricia D Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922034008 PECOS PAC ID: 2769480672 Enrollment ID: I20061130000475 |
| Provider Name | Joanne M Sobolewski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275551202 PECOS PAC ID: 2163572942 Enrollment ID: I20090617000258 |
| Provider Name | Louise B Biller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245284173 PECOS PAC ID: 2365498896 Enrollment ID: I20090828000467 |
| Provider Name | Lisa Marie Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467604074 PECOS PAC ID: 5698959211 Enrollment ID: I20110406000403 |
| Provider Name | Frances P Bertolini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376844845 PECOS PAC ID: 8729230073 Enrollment ID: I20121212000424 |
| Provider Name | Stacey A Hostetter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558766584 PECOS PAC ID: 6608148283 Enrollment ID: I20190411001670 |
| Provider Name | Jacina Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972074920 PECOS PAC ID: 4688048218 Enrollment ID: I20230322003165 |
| Provider Name | Kathleen Fetter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710005251 PECOS PAC ID: 2668818899 Enrollment ID: I20240311002710 |
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