| Erin Arwady L.l.c. | |
|
5104 Lovers Ln Portage MI 49002-1558 | |
| (269) 743-7360 | |
| (269) 382-0866 |
| Full Name | Erin Arwady L.l.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5104 Lovers Ln, Portage, Michigan |
| Authorized Official Name and Position | Erin Marie Arwady (SOLE MEMBER) |
| Authorized Official Contact | 2697437360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Arwady L.l.c. 928 Homecrest Ave Kalamazoo MI 49001-4321 Ph: (215) 431-1327 | Erin Arwady L.l.c. 5104 Lovers Ln Portage MI 49002-1558 Ph: (269) 743-7360 |
| NPI Number | 1598514465 |
|---|---|
| Provider Enumeration Date | 05/14/2024 |
| Last Update Date | 05/14/2024 |
| Certification Date | 05/14/2024 |
| Medicare PECOS PAC ID | 6608314679 |
|---|---|
| Medicare Enrollment ID | O20240821003689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598514465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Erin Marie Arwady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457609646 PECOS PAC ID: 7517405590 Enrollment ID: I20240821004549 |
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