| Jenelle Mazaris, | |
|
705 S Main St, Suite 280, Plymouth, MI 48170-2089 | |
| (734) 454-3560 | |
| (734) 454-3570 |
| Full Name | Jenelle Mazaris |
|---|---|
| Gender | Female |
| Speciality | Marriage And Family Therapist |
| Experience | 17 Years |
| Location | 705 S Main St, Plymouth, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700247962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 4101006577 (Michigan) | Primary |
| Entity Name | Holistic Drama Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700380664 PECOS PAC ID: 9335668144 Enrollment ID: O20250524000125 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenelle Mazaris, 3694 Clarkston Rd, Suite D, Clarkston, MI 48348-5213 Ph: (248) 410-0650 | Jenelle Mazaris, 705 S Main St, Suite 280, Plymouth, MI 48170-2089 Ph: (734) 454-3560 |
Zain Shamoon, LLMFT Couples Therapy Medicare: May Accept Medicare Assignments Practice Location: 705 S Main St, Suite 280, Plymouth, MI 48170 Phone: 734-454-3560 | |
Mr. Mark Phelps, M.A., L.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 705 S Main St Ste 280, Plymouth, MI 48170 Phone: 734-454-3560 | |
Matthew Buryta, LLMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 696 N Mill St Ste 107, Plymouth, MI 48170 Phone: 734-231-8190 |