| Peaceful Pines Healing Practices, Llc | |
|
W3470 Badger Rd Pine River WI 54965-8118 | |
| (920) 229-3929 | |
| Not Available |
| Full Name | Peaceful Pines Healing Practices, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | W3470 Badger Rd, Pine River, Wisconsin |
| Authorized Official Name and Position | Anna M Syke (OWNER OF PRACTICE) |
| Authorized Official Contact | 9202293929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Pines Healing Practices, Llc W3470 Badger Rd Pine River WI 54965-8118 Ph: (920) 229-3929 | Peaceful Pines Healing Practices, Llc W3470 Badger Rd Pine River WI 54965-8118 Ph: (920) 229-3929 |
| NPI Number | 1194252304 |
|---|---|
| Provider Enumeration Date | 05/18/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194252304 | NPI | - | NPPES |
| 1861810194 | Other | WI | INDIVIDUAL NPI FOR OWNER OF PRACTICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5328-125 (Wisconsin) | Primary |