| Awakenings Family Therapy Llc | |
|
2385 Cedar Park Dr Apt 323 Holt MI 48842-3112 | |
| (517) 331-1433 | |
| Not Available |
| Full Name | Awakenings Family Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2385 Cedar Park Dr Apt 323, Holt, Michigan |
| Authorized Official Name and Position | Marybeth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakenings Family Therapy Llc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Awakenings Family Therapy Llc 2385 Cedar Park Dr Apt 323 Holt MI 48842-3112 Ph: (517) 331-1433 |
| NPI Number | 1417058983 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 09/22/2020 |
| Certification Date | 09/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417058983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 6802034561 (Michigan) | Primary |
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