| Dbt Institute Of Mi | |
|
4205 Charlar Dr Ste 3 Holt MI 48842-6809 | |
| (517) 367-0670 | |
| (517) 367-0681 |
| Full Name | Dbt Institute Of Mi |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 4205 Charlar Dr Ste 3, Holt, Michigan |
| Authorized Official Name and Position | Joshua M Smith (OWNER / AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5173670670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dbt Institute Of Mi 4205 Charlar Dr Ste 3 Holt MI 48842-6809 Ph: (517) 367-0670 | Dbt Institute Of Mi 4205 Charlar Dr Ste 3 Holt MI 48842-6809 Ph: (517) 367-0670 |
| NPI Number | 1982063889 |
|---|---|
| Provider Enumeration Date | 02/19/2016 |
| Last Update Date | 09/29/2021 |
| Certification Date | 09/29/2021 |
| Medicare PECOS PAC ID | 9537448774 |
|---|---|
| Medicare Enrollment ID | O20161111000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982063889 | NPI | - | NPPES |
| Provider Name | Jennifer L Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215052444 PECOS PAC ID: 4688985047 Enrollment ID: I20150625002147 |
| Provider Name | Carol Buckner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427427871 PECOS PAC ID: 5193004356 Enrollment ID: I20161111000958 |
| Provider Name | Stephanie L Rudlaff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154710879 PECOS PAC ID: 0042592966 Enrollment ID: I20170127002418 |
| Provider Name | Anne K Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093141830 PECOS PAC ID: 4789967159 Enrollment ID: I20170208002674 |
| Provider Name | Allison Franck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851777478 PECOS PAC ID: 2365700994 Enrollment ID: I20180103000363 |
| Provider Name | Rachel Evora Saul |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588112890 PECOS PAC ID: 9335474626 Enrollment ID: I20190709001505 |
| Provider Name | Shell Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093199713 PECOS PAC ID: 2163840992 Enrollment ID: I20200910003128 |
| Provider Name | Erika Marie Vanhoven |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962873398 PECOS PAC ID: 2567983497 Enrollment ID: I20250308000187 |
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