| Ananda Wellness Llc | |
|
142 Brighton Lake Rd Brighton MI 48116-1738 | |
| (810) 844-1476 | |
| Not Available |
| Full Name | Ananda Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 142 Brighton Lake Rd, Brighton, Michigan |
| Authorized Official Name and Position | Marybeth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ananda Wellness Llc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Ananda Wellness Llc 142 Brighton Lake Rd Brighton MI 48116-1738 Ph: (810) 844-1476 |
| NPI Number | 1851981310 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 01/19/2021 |
| Certification Date | 01/19/2021 |
| Medicare PECOS PAC ID | 3375957947 |
|---|---|
| Medicare Enrollment ID | O20210122002439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851981310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Sarah Katherine Hodges Richards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447525159 PECOS PAC ID: 4284048851 Enrollment ID: I20210122002523 |
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