| Therapy Redefined By Shelly Flachs | |
|
1632 Kentucky St Quincy IL 62301-4259 | |
| (217) 430-8933 | |
| Not Available |
| Full Name | Therapy Redefined By Shelly Flachs |
|---|---|
| Speciality | Social Worker |
| Location | 1632 Kentucky St, Quincy, Illinois |
| Authorized Official Name and Position | Shelly Flachs (OWNER) |
| Authorized Official Contact | 2174308933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Redefined By Shelly Flachs 1632 Kentucky St Quincy IL 62301-4259 Ph: (217) 430-8933 | Therapy Redefined By Shelly Flachs 1632 Kentucky St Quincy IL 62301-4259 Ph: (217) 430-8933 |
| NPI Number | 1952150849 |
|---|---|
| Provider Enumeration Date | 05/14/2024 |
| Last Update Date | 11/01/2024 |
| Certification Date | 10/31/2024 |
| Medicare PECOS PAC ID | 1850837568 |
|---|---|
| Medicare Enrollment ID | O20240718000779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952150849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shelly Flachs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114288404 PECOS PAC ID: 0749401149 Enrollment ID: I20141029000548 |
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