| Arise Therapy And Consultation Pllc | |
|
4896 Chilson Rd Howell MI 48843-9453 | |
| (810) 206-2086 | |
| Not Available |
| Full Name | Arise Therapy And Consultation Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4896 Chilson Rd, Howell, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arise Therapy And Consultation Pllc 9241 S Kestrel Ridge Rd Brighton MI 48116-5151 Ph: (586) 306-9645 | Arise Therapy And Consultation Pllc 4896 Chilson Rd Howell MI 48843-9453 Ph: (810) 206-2086 |
| NPI Number | 1093437642 |
|---|---|
| Provider Enumeration Date | 09/12/2022 |
| Last Update Date | 12/17/2023 |
| Certification Date | 12/17/2023 |
| Medicare PECOS PAC ID | 9032585963 |
|---|---|
| Medicare Enrollment ID | O20221018003030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093437642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Beth Joan Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588705511 PECOS PAC ID: 9234233412 Enrollment ID: I20070328000032 |
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