| Conscious Connections Southwest Michigan Llc | |
|
344 W Allegan St Otsego MI 49078-1086 | |
| (616) 914-8223 | |
| Not Available |
| Full Name | Conscious Connections Southwest Michigan Llc |
|---|---|
| Speciality | Social Worker |
| Location | 344 W Allegan St, Otsego, Michigan |
| Authorized Official Name and Position | Rachael Gilbert (CO-OWNER) |
| Authorized Official Contact | 6169148223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conscious Connections Southwest Michigan Llc 344 W Allegan St Otsego MI 49078-1086 Ph: () - | Conscious Connections Southwest Michigan Llc 344 W Allegan St Otsego MI 49078-1086 Ph: (616) 914-8223 |
| NPI Number | 1952118515 |
|---|---|
| Provider Enumeration Date | 12/16/2024 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Medicare PECOS PAC ID | 7719409358 |
|---|---|
| Medicare Enrollment ID | O20250324001652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952118515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Rachael Gilbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578296257 PECOS PAC ID: 8426432493 Enrollment ID: I20220825002021 |
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