| Downtown Wellness Pllc | |
|
104 E Maple St Holly MI 48442-2101 | |
| (810) 373-9062 | |
| Not Available |
| Full Name | Downtown Wellness Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 104 E Maple St, Holly, Michigan |
| Authorized Official Name and Position | Ashley Thomas (COUNSELOR/ OWNER) |
| Authorized Official Contact | 2488940824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Downtown Wellness Pllc 412 S Broad St Holly MI 48442-1626 Ph: (248) 894-0824 | Downtown Wellness Pllc 104 E Maple St Holly MI 48442-2101 Ph: (810) 373-9062 |
| NPI Number | 1063193233 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/08/2023 |
| Medicare PECOS PAC ID | 3173967999 |
|---|---|
| Medicare Enrollment ID | O20240221000302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063193233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ashley Anne Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831761394 PECOS PAC ID: 6800230624 Enrollment ID: I20240221000342 |
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