| Alyssa Joy Penley, | |
|
328 E Main St, Spring Arbor, MI 49283-9617 | |
| (248) 924-5438 | |
| Not Available |
| Full Name | Alyssa Joy Penley |
|---|---|
| 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 |
|---|---|---|---|
| 1336896521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6851105706 (Michigan) | Primary |
| Entity Name | Flourish Center For Cultivating Human Potential |
|---|---|
| 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 |
|---|---|
| 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: 9825 Spring Arbor Rd, Spring Arbor, MI 49283 Phone: 517-258-2386 | |
Bethany Kay Patton, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6692 Spring Arbor Road, Spring Arbor, MI 49283 Phone: 517-914-1758 |