| Conscious Garden Counseling Llc | |
|
888 W Big Beaver Rd Ste 780 Troy MI 48084-4745 | |
| (517) 231-7183 | |
| Not Available |
| Full Name | Conscious Garden Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 888 W Big Beaver Rd Ste 780, Troy, Michigan |
| Authorized Official Name and Position | Jesica A Bassett (SOCIAL WORKER-THERAPIST) |
| Authorized Official Contact | 5172317183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conscious Garden Counseling Llc 1496 W Marshall St Ferndale MI 48220-1646 Ph: (517) 231-7183 | Conscious Garden Counseling Llc 888 W Big Beaver Rd Ste 780 Troy MI 48084-4745 Ph: (517) 231-7183 |
| NPI Number | 1780450031 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 02/22/2024 |
| Certification Date | 01/23/2024 |
| Medicare PECOS PAC ID | 4587009733 |
|---|---|
| Medicare Enrollment ID | O20240228001276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780450031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jesica Anne Bassett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639540073 PECOS PAC ID: 8527301035 Enrollment ID: I20190524002415 |
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