| Saginaw Valley Centers, Inc. | |
|
3190 Hallmark Ct Saginaw MI 48603-2190 | |
| (989) 790-3366 | |
| (989) 790-5027 |
| Full Name | Saginaw Valley Centers, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 3190 Hallmark Ct, Saginaw, Michigan |
| Authorized Official Name and Position | Patricia Kay Watters (CEO) |
| Authorized Official Contact | 9897903366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saginaw Valley Centers, Inc. 3190 Hallmark Ct Saginaw MI 48603-2190 Ph: (989) 790-3366 | Saginaw Valley Centers, Inc. 3190 Hallmark Ct Saginaw MI 48603-2190 Ph: (989) 790-3366 |
| NPI Number | 1306862461 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2163323288 |
|---|---|
| Medicare Enrollment ID | O20040120000684 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306862461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 730038 (Michigan) | Primary |
| Provider Name | Mukesh Lathia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700820693 PECOS PAC ID: 1153393533 Enrollment ID: I20080428000496 |
| Provider Name | Tina M Sims |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952676181 PECOS PAC ID: 2264751650 Enrollment ID: I20150506002497 |
| Provider Name | Kaylee Marie Evers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669032181 PECOS PAC ID: 4688042583 Enrollment ID: I20221128001145 |
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