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​Rise N Shine Hypnosis and Counseling Super Bill


LPC-16270   Tax ID:  20 229 2013    NPI:  159 88 34160 
4215 N Brown Ave Suite D       Scottsdale, AZ 85251      gloriike@gmail.com

Client:

Diagnostic code:  F41.1 Generalized Anxiety Disorder   
 

CPT Code: _______   Date of Service: _________ Fee: _____            
CPT Code: _______   Date of Service: _________ Fee: _____
CPT Code: _______   Date of Service: _________ Fee:  _____
CPT Code:  ______    Date of Service: _________ Fee: _____
                                                                       Total payment: 
90791  Initial Assessment   
90837  Individual session: 60 min  
90785  Interactive Complexity – add on code

                                                   
                 ________________________________________

          Gloria Eichenauer, Licensed Professional Counselor                                         
Picture


​PSYCHO/HYPNOTHERAPY 
CONTACT US
​
217-433-5759

4215 N Brown Ave
Suite D
Scottsdale, AZ   85251
​217-433-5759

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  • Home
    • About
    • FAQ's
    • Community
  • Assessment/Waitlist
    • Insurance >
      • verification form
      • SUPER bill
  • Services
    • Consultation
    • Clarity
    • Transcendence
    • Embodiment
  • Product
    • Alignment 101
    • Embodiment 101
  • BLOG
    • Embodiment
    • Emotions
    • Yoga ?
    • EMDR
    • Guilt
    • Star Seeds
    • Psych K
    • Your True Nature
    • Truth Radar
    • Desire
    • Narcissism
    • The Voice Within
    • Attachments
  • YouTube