Alyssa Joy Penley, | |
328 E Main St, Spring Arbor, MI 49283-9617 | |
(248) 924-5438 | |
Not Available |
Full Name | Alyssa Joy Penley |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 328 E Main St, Spring Arbor, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1336896521 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6851105706 (Michigan) | Primary |
Entity Name | Flourish Center For Cultivating Human Potential |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669920344 PECOS PAC ID: 2860776150 Enrollment ID: O20170306001182 |
Mailing Address | Practice Location Address |
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Alyssa Joy Penley, 7780 Kookaburra Ct Apt 408, Dexter, MI 48130-1582 Ph: () - | Alyssa Joy Penley, 328 E Main St, Spring Arbor, MI 49283-9617 Ph: (248) 924-5438 |
Matthew Winner, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3522 2nd Ave Apt 5, Spring Arbor, MI 49283 Phone: 419-980-1452 | |
Benjamin Roger-bigger Keaster, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 E Main St, Spring Arbor, MI 49283 Phone: 517-262-6400 | |
Bethany Kay Patton, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6692 Spring Arbor Road, Spring Arbor, MI 49283 Phone: 517-914-1758 |