| Carruthers Therapy LLC | |
|
1675 84th St Se Caledonia MI 49316-7939 | |
| (616) 238-0159 | |
| Not Available |
| Full Name | Carruthers Therapy LLC |
|---|---|
| Speciality | Social Worker |
| Location | 1675 84th St Se, Caledonia, Michigan |
| Authorized Official Name and Position | Kathy a Carruthers (OWNER, THERAPIST) |
| Authorized Official Contact | 6162380159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carruthers Therapy LLC 1125 Royal Oak St Sw Wyoming MI 49509-3562 | Carruthers Therapy LLC 1675 84th St Se Caledonia MI 49316-7939 Ph: (616) 238-0159 |
| NPI Number | 1083210843 |
|---|---|
| Provider Enumeration Date | 12/08/2020 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 2365854635 |
|---|---|
| Medicare Enrollment ID | O20201210000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083210843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (NU) | Primary |
| Provider Name | Kathy a Carruthers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720340367 PECOS PAC ID: 9032336862 Enrollment ID: I20140819000218 |
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