MEDICARE: EXPLORING INNER PEACE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1245779537
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXPLORING INNER PEACE LLC

Provider Business Mailing Address
First Line	:	2124 MT HUNGER RD
Second Line	:
City	:	BETHEL
State	:	VT
Zip	:	05032-9255
Country	:	US
Telephone Number	:	720-243-3993
Fax Number	:

Provider Business Practice Location Address
First Line	:	2124 MT HUNGER RD
Second Line	:
City	:	BETHEL
State	:	VT
Zip	:	05032-9255
Country	:	US
Telephone Number	:	720-243-3993
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LINDSEY LOWRANCE
Credential	:	LCSW
Telephone Number	:	720-243-3993

Provider Enumeration Date	:	02/20/2017
Last Update Date	:	10/13/2021

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Directions to “EXPLORING INNER PEACE LLC ” Practice Location

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