| Wise Minds Therapy, Pllc | |
|
3837 E Lake Ctr Ste 400 Quincy IL 62305-5803 | |
| (217) 257-6257 | |
| Not Available |
| Full Name | Wise Minds Therapy, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 3837 E Lake Ctr Ste 400, Quincy, Illinois |
| Authorized Official Name and Position | Katherine A Saunders (OWNER) |
| Authorized Official Contact | 2172576257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Minds Therapy, Pllc 1618 Curtis Creek Rd Quincy IL 62301-6332 Ph: (217) 257-6257 | Wise Minds Therapy, Pllc 3837 E Lake Ctr Ste 400 Quincy IL 62305-5803 Ph: (217) 257-6257 |
| NPI Number | 1447025572 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 05/02/2024 |
| Certification Date | 05/02/2024 |
| Medicare PECOS PAC ID | 3779027644 |
|---|---|
| Medicare Enrollment ID | O20240702003220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447025572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Katherine A Saunders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215357553 PECOS PAC ID: 4688897887 Enrollment ID: I20140515000815 |
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