| Faith And Radical Self-love, Llc | |
|
22804 Sharrow Ave Warren MI 48089-2882 | |
| (313) 854-5102 | |
| (313) 251-7344 |
| Full Name | Faith And Radical Self-love, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 22804 Sharrow Ave, Warren, Michigan |
| Authorized Official Name and Position | Zenobia Kindle-davis (THERAPIST/OWNER) |
| Authorized Official Contact | 3138545102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith And Radical Self-love, Llc 22804 Sharrow Ave Warren MI 48089-2882 Ph: (313) 854-5102 | Faith And Radical Self-love, Llc 22804 Sharrow Ave Warren MI 48089-2882 Ph: (313) 854-5102 |
| NPI Number | 1205441722 |
|---|---|
| Provider Enumeration Date | 09/11/2020 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Medicare PECOS PAC ID | 1153730221 |
|---|---|
| Medicare Enrollment ID | O20210503001488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205441722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Family Medicine And Sleep Specialist Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11670 Martin Rd, Warren, MI 48093 Phone: 586-754-3830 Fax: 586-754-3840 | |
Kalasho Education And Youth Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 29900 Lorraine Ave, Warren, MI 48093 Phone: 586-393-1570 | |
Brighter Days Ahead Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 23905 Warner Ave, Warren, MI 48091 Phone: 586-823-6322 | |
Neurocognitive Center Of Michigan Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 28800 Ryan Rd, Suite 300, Warren, MI 48092 Phone: 586-582-0500 Fax: 586-620-8113 | |
Auburn Neurology Associates Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27101 Schoenherr Ave, Ste 200, Warren, MI 48088 Phone: 734-459-7444 Fax: 734-459-7755 | |
Ismail B. Sendi, Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8150 E 13 Mile Rd, Warren, MI 48093 Phone: 586-825-9700 Fax: 586-825-9701 | |
T & G Corporation, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4050 E 12 Mile Rd, Warren, MI 48092 Phone: 586-261-2166 Fax: 586-261-3628 |