Beyond Bridging Llc | |
18825 Ruth St Melvindale MI 48122-1546 | |
(313) 289-4805 | |
Not Available |
Full Name | Beyond Bridging Llc |
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Speciality | Social Worker |
Location | 18825 Ruth St, Melvindale, Michigan |
Authorized Official Name and Position | Elham Alawy (CEO) |
Authorized Official Contact | 3132894805 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Beyond Bridging Llc 18825 Ruth St Melvindale MI 48122-1546 Ph: (313) 289-4805 | Beyond Bridging Llc 18825 Ruth St Melvindale MI 48122-1546 Ph: (313) 289-4805 |
NPI Number | 1558146092 |
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Provider Enumeration Date | 08/30/2023 |
Last Update Date | 11/25/2024 |
Certification Date | 11/25/2024 |
Medicare PECOS PAC ID | 3577090208 |
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Medicare Enrollment ID | O20241219001783 |
Identifier | Type | State | Issuer |
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1558146092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Elham Alawy |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083016521 PECOS PAC ID: 5395272025 Enrollment ID: I20241219001854 |
Dimensions Of Wellness, Inc., A Nonprofit Corporation Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 17461 Allen Rd, Melvindale, MI 48122 Phone: 727-212-1383 |