| Southwest Community Church Of Palm Desert | |
|
44175 Washington St. , Indian Wells, Ca 92210 Indian Wells CA 92210 | |
| (760) 200-2000 | |
| Not Available |
| Full Name | Southwest Community Church Of Palm Desert |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 44175 Washington St. , Indian Wells, Ca 92210, Indian Wells, California |
| Authorized Official Name and Position | David Bell (PASTOR OF OPERATIONS) |
| Authorized Official Contact | 7602002000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Community Church Of Palm Desert 44175 Washington St Indian Wells CA 92210-6801 Ph: (760) 200-2000 | Southwest Community Church Of Palm Desert 44175 Washington St. , Indian Wells, Ca 92210 Indian Wells CA 92210 Ph: (760) 200-2000 |
| NPI Number | 1700626710 |
|---|---|
| Provider Enumeration Date | 05/28/2024 |
| Last Update Date | 05/29/2024 |
| Certification Date | 05/29/2024 |
| Medicare PECOS PAC ID | 2769920123 |
|---|---|
| Medicare Enrollment ID | O20240815003838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700626710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Rachelle Roberts |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821363664 PECOS PAC ID: 2567900921 Enrollment ID: I20240722003433 |
| Provider Name | Karina Moreno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316379274 PECOS PAC ID: 2961949573 Enrollment ID: I20240731004310 |
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