| Seven Pillars Of Life Llc | |
|
6220 N Belt Line Rd Ste 208 Irving TX 75063-2656 | |
| (817) 369-8214 | |
| (682) 333-0624 |
| Full Name | Seven Pillars Of Life Llc |
|---|---|
| Speciality | Secured Medical Transport (VAN) |
| Location | 6220 N Belt Line Rd Ste 208, Irving, Texas |
| Authorized Official Name and Position | Sophia Dinwiddie Donald (MANAGING MEMBER) |
| Authorized Official Contact | 8173698214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seven Pillars Of Life Llc 6220 N Belt Line Rd Ste 208 Irving TX 75063-2656 Ph: (181) 736-9821 | Seven Pillars Of Life Llc 6220 N Belt Line Rd Ste 208 Irving TX 75063-2656 Ph: (817) 369-8214 |
| NPI Number | 1992390652 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Medicare PECOS PAC ID | 3476933169 |
|---|---|
| Medicare Enrollment ID | O20220712003040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992390652 | NPI | - | NPPES |
| 15158611 | Other | TX | CAQH |
| 450571101 | Medicaid | TX |
| Provider Name | Sophia Dinwiddie Donald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699233577 PECOS PAC ID: 1153723721 Enrollment ID: I20210706002330 |
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