| Pathway To Inner Peace, Pllc | |
|
5386 Williams Dr Roscoe IL 61073-7320 | |
| (815) 904-2119 | |
| Not Available |
| Full Name | Pathway To Inner Peace, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 5386 Williams Dr, Roscoe, Illinois |
| Authorized Official Name and Position | Stacy Schroepfer (OWNER) |
| Authorized Official Contact | 8159042119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway To Inner Peace, Pllc 5386 Williams Dr Roscoe IL 61073-7320 Ph: (815) 904-2119 | Pathway To Inner Peace, Pllc 5386 Williams Dr Roscoe IL 61073-7320 Ph: (815) 904-2119 |
| NPI Number | 1124881123 |
|---|---|
| Provider Enumeration Date | 02/01/2024 |
| Last Update Date | 08/21/2024 |
| Certification Date | 08/06/2024 |
| Medicare PECOS PAC ID | 4880135128 |
|---|---|
| Medicare Enrollment ID | O20240926001038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124881123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Stacy Kristen Schroepfer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558668681 PECOS PAC ID: 5799226031 Enrollment ID: I20250327000441 |
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