Dynamic Wellness Collaborative | |
888 W Big Beaver Rd Ste 780 Troy MI 48084-4745 | |
(248) 534-8201 | |
Not Available |
Full Name | Dynamic Wellness Collaborative |
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Speciality | Social Worker |
Location | 888 W Big Beaver Rd Ste 780, Troy, Michigan |
Authorized Official Name and Position | Karyn Skiba (OWNER) |
Authorized Official Contact | 2485348201 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dynamic Wellness Collaborative 888 W Big Beaver Rd Ste 780 Troy MI 48084-4745 Ph: (248) 270-5660 | Dynamic Wellness Collaborative 888 W Big Beaver Rd Ste 780 Troy MI 48084-4745 Ph: (248) 534-8201 |
NPI Number | 1942883236 |
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Provider Enumeration Date | 05/04/2021 |
Last Update Date | 02/11/2022 |
Certification Date | 02/11/2022 |
Medicare PECOS PAC ID | 7214316207 |
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Medicare Enrollment ID | O20220622001097 |
Identifier | Type | State | Issuer |
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1942883236 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Tamara Antishin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720321458 PECOS PAC ID: 1951605187 Enrollment ID: I20160209002357 |
Provider Name | Karyn L Skiba |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841672987 PECOS PAC ID: 5698040293 Enrollment ID: I20171009000337 |
Provider Name | Melissa Osullivan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831685809 PECOS PAC ID: 8022497015 Enrollment ID: I20220622001129 |
Provider Name | Megan Minadeo |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255062717 PECOS PAC ID: 5991178766 Enrollment ID: I20230224001685 |
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