| Peace And Purpose Therapy Llc | |
|
3350 W Americana Ter Ste 320 Boise ID 83706-2548 | |
| (208) 918-4429 | |
| (866) 373-0854 |
| Full Name | Peace And Purpose Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3350 W Americana Ter Ste 320, Boise, Idaho |
| Authorized Official Name and Position | Christian J Wheelihan (OWNER) |
| Authorized Official Contact | 2089184429 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace And Purpose Therapy Llc 1302 W Hays St Boise ID 83702-5025 Ph: (208) 859-1008 | Peace And Purpose Therapy Llc 3350 W Americana Ter Ste 320 Boise ID 83706-2548 Ph: (208) 918-4429 |
| NPI Number | 1174214290 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 05/18/2023 |
| Certification Date | 05/18/2023 |
| Medicare PECOS PAC ID | 0648628313 |
|---|---|
| Medicare Enrollment ID | O20231120001351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174214290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christian J Wheelihan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487084588 PECOS PAC ID: 6507195112 Enrollment ID: I20190906002956 |
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