| Cobalt Nature Center, Pllc | |
|
529 S Main St Ste C Standish MI 48658-9539 | |
| (989) 578-8933 | |
| Not Available |
| Full Name | Cobalt Nature Center, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 529 S Main St Ste C, Standish, Michigan |
| Authorized Official Name and Position | Amie Marie Parkinson (OWNER) |
| Authorized Official Contact | 9895788933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cobalt Nature Center, Pllc 1059 M 76 Sterling MI 48659-9614 Ph: (989) 578-8933 | Cobalt Nature Center, Pllc 529 S Main St Ste C Standish MI 48658-9539 Ph: (989) 578-8933 |
| NPI Number | 1225584147 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Medicare PECOS PAC ID | 8527406966 |
|---|---|
| Medicare Enrollment ID | O20240404002538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225584147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amie M Parkinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063864031 PECOS PAC ID: 6800182635 Enrollment ID: I20160906000061 |
| Provider Name | Nicole Sweet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104113679 PECOS PAC ID: 1456704469 Enrollment ID: I20240125003970 |
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