Organization
INNER PEACE HOLISTIC HEALING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVINA BORGES LPC LIMHP (OWNER)
(605) 673-7822
Entity
Organization
Contact information
Practice address
229 MAIN ST, CHADRON, NE 69337-2355
(605) 673-7822
Mailing address
202 MAPLE ST, CHADRON, NE 69337-2223
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
06/05/2023
Last updated
11/22/2024
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