| Dewitt Family Therapy L.l.c. | |
|
12830 S Us Highway 27 Dewitt MI 48820-7982 | |
| (517) 488-1497 | |
| Not Available |
| Full Name | Dewitt Family Therapy L.l.c. |
|---|---|
| Speciality | Social Worker |
| Location | 12830 S Us Highway 27, Dewitt, Michigan |
| Authorized Official Name and Position | David Enterline (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 5174881497 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dewitt Family Therapy L.l.c. 405 N Bridge St Dewitt MI 48820-8907 Ph: (517) 488-1497 | Dewitt Family Therapy L.l.c. 12830 S Us Highway 27 Dewitt MI 48820-7982 Ph: (517) 488-1497 |
| NPI Number | 1821803099 |
|---|---|
| Provider Enumeration Date | 02/12/2025 |
| Last Update Date | 02/12/2025 |
| Certification Date | 02/12/2025 |
| Medicare PECOS PAC ID | 2466974985 |
|---|---|
| Medicare Enrollment ID | O20250313002348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821803099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | David A Enterline |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003153008 PECOS PAC ID: 1153673983 Enrollment ID: I20181005002376 |
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