| Dimensions Of Wellness, Inc., A Nonprofit Corporation | |
|
17461 Allen Rd Melvindale MI 48122-1026 | |
| (727) 212-1383 | |
| Not Available |
| Full Name | Dimensions Of Wellness, Inc., A Nonprofit Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 17461 Allen Rd, Melvindale, Michigan |
| Authorized Official Name and Position | Tracy Lynn Gomez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7272121383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dimensions Of Wellness, Inc., A Nonprofit Corporation 17461 Allen Rd Melvindale MI 48122-1026 Ph: (727) 212-1383 | Dimensions Of Wellness, Inc., A Nonprofit Corporation 17461 Allen Rd Melvindale MI 48122-1026 Ph: (727) 212-1383 |
| NPI Number | 1942840731 |
|---|---|
| Provider Enumeration Date | 01/09/2020 |
| Last Update Date | 01/09/2020 |
| Certification Date | 01/09/2020 |
| Medicare PECOS PAC ID | 3870953987 |
|---|---|
| Medicare Enrollment ID | O20230721000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942840731 | NPI | - | NPPES |
| Provider Name | Steffany M Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184866907 PECOS PAC ID: 6709930548 Enrollment ID: I20090813000552 |
| Provider Name | Susan J Revels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255511846 PECOS PAC ID: 2365570546 Enrollment ID: I20100507000791 |
| Provider Name | Stacey M Reaume |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104255587 PECOS PAC ID: 0244462604 Enrollment ID: I20140417000693 |
| Provider Name | Rizwan Mufti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790739365 PECOS PAC ID: 3971586074 Enrollment ID: I20150225001927 |
| Provider Name | Tracy Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164606273 PECOS PAC ID: 4082981014 Enrollment ID: I20170523002632 |
| Provider Name | Diane Gail Matz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104557628 PECOS PAC ID: 9133572126 Enrollment ID: I20240125003387 |
| Provider Name | Crystal Dawn Strickland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245532845 PECOS PAC ID: 1951761063 Enrollment ID: I20240205000598 |
Beyond Bridging P.l.l.c Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18825 Ruth St, Melvindale, MI 48122 Phone: 313-289-4805 | |
Loving Hearts Family Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24110 Outer Dr, Melvindale, MI 48122 Phone: 248-670-9787 Fax: 248-670-9787 |