| Tabitha Marie Harden, | |
|
2020 Cascade Dr, Jackson, MI 49203-3810 | |
| (734) 219-3314 | |
| Not Available |
| Full Name | Tabitha Marie Harden |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2020 Cascade Dr, Jackson, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073116745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801105784 (Michigan) | Primary |
| Entity Name | Jackson Healing Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629677893 PECOS PAC ID: 0840603031 Enrollment ID: O20210107000916 |
| Mailing Address | Practice Location Address |
|---|---|
| Tabitha Marie Harden, 2020 Cascade Dr, Jackson, MI 49203-3810 Ph: (734) 219-3314 | Tabitha Marie Harden, 2020 Cascade Dr, Jackson, MI 49203-3810 Ph: (734) 219-3314 |
Mrs. Linda Belcher, LBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9354 Lee Rd, Jackson, MI 49201 Phone: 517-796-4559 | |
Karen Lizeth Hernandez Martinez, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 N Jackson St, Jackson, MI 49201 Phone: 517-748-5444 | |
Bonnie Kae-macduff Holiday, LMSW, ACSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2301 E Michigan Ave, Suite 107, Jackson, MI 49202 Phone: 517-784-3730 Fax: 517-764-4596 | |
Barbara O'connor, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 323 W Michigan Ave, Jackson, MI 49201 Phone: 517-783-2732 Fax: 517-783-2359 | |
Karalee Marie Mills, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1206 Clinton Rd, Jackson, MI 49202 Phone: 517-783-4150 | |
Ingrid Sekhon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 W Monroe St, Suite 500, Jackson, MI 49202 Phone: 517-788-8330 | |
Kathleen Patricia Mahoney, CSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4730 Fax: 517-788-4701 |