| Holly Elizabeth Gist-richer, LMSW | |
|
137 Maple St, Grass Lake, MI 49240-9718 | |
| (734) 719-0854 | |
| Not Available |
| Full Name | Holly Elizabeth Gist-richer |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 137 Maple St, Grass Lake, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275906091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Canvas Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922051325 PECOS PAC ID: 8729073978 Enrollment ID: O20040416001178 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Elizabeth Gist-richer, LMSW 137 Maple St, Grass Lake, MI 49240-9718 Ph: (734) 719-0854 | Holly Elizabeth Gist-richer, LMSW 137 Maple St, Grass Lake, MI 49240-9718 Ph: (734) 719-0854 |
Stephanie Zaientz, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12337 E Michigan Ave, Grass Lake, MI 49240 Phone: 734-474-0042 | |
Deana Fisher, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2843 Struthers Rd, Grass Lake, MI 49240 Phone: 586-321-1140 | |
Sheri Jean Leighton, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11000 Cedar Knoll Dr Ste A-2, Grass Lake, MI 49240 Phone: 517-748-3914 |