| Mrs Adriene Maddox, LLMSW | |
|
175 N Groesbeck Hwy Unit 175-f, Mount Clemens, MI 48043-1562 | |
| (586) 627-0024 | |
| Not Available |
| Full Name | Mrs Adriene Maddox |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 175 N Groesbeck Hwy Unit 175-f, Mount Clemens, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639720469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (Michigan) | Primary |
| Entity Name | Severia Adolphus |
|---|---|
| Entity Type | Practitioner - Nurse Practitioner |
| Entity Identifiers | NPI Number: 1992939052 PECOS PAC ID: 3274801246 Enrollment ID: I20170615000548 |
| Entity Name | New Life Alternatives Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033759659 PECOS PAC ID: 7810386976 Enrollment ID: O20211201001531 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Adriene Maddox, LLMSW 24644 Mabray Ave, Eastpointe, MI 48021-1481 Ph: (313) 909-4845 | Mrs Adriene Maddox, LLMSW 175 N Groesbeck Hwy Unit 175-f, Mount Clemens, MI 48043-1562 Ph: (586) 627-0024 |
Mrs. Sanitha Pulikkotil, Counselor Medicare: Medicare Enrolled Practice Location: 175 N Groesbeck Hwy, Unit 175-f, Mount Clemens, MI 48043 Phone: 586-627-0024 | |
Ms. Deleecha Artiaga, Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 N Groesbeck Hwy, Mount Clemens, MI 48043 Phone: 586-713-5103 | |
Kristy Hreben, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Crocker Blvd, Mount Clemens, MI 48043 Phone: 586-468-2266 | |
Ms. Amy Bischof, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 N Groesbeck Hwy, Mount Clemens, MI 48043 Phone: 586-627-0024 Fax: 586-627-0027 | |
Tina Solomon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 N Groesbeck Hwy, Mount Clemens, MI 48043 Phone: 586-427-0060 | |
Terrence B Flint, LPC Counselor Medicare: Medicare Enrolled Practice Location: 100 Nb Gratiot Ave, Mount Clemens, MI 48043 Phone: 586-783-2950 Fax: 586-690-4333 | |
Erin M Wittwer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 275 N Groesbeck Hwy, Mount Clemens, MI 48043 Phone: 586-477-4067 Fax: 586-493-0740 |