| Flock Group Llc | |
|
27550 Groveland St Roseville MI 48066-4354 | |
| (586) 213-2837 | |
| Not Available |
| Full Name | Flock Group Llc |
|---|---|
| Speciality | Social Worker |
| Location | 27550 Groveland St, Roseville, Michigan |
| Authorized Official Name and Position | Lamika Banks (SOCIAL WORKER) |
| Authorized Official Contact | 5862132837 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flock Group Llc 27550 Groveland St Roseville MI 48066-4354 Ph: (586) 213-2837 | Flock Group Llc 27550 Groveland St Roseville MI 48066-4354 Ph: (586) 213-2837 |
| NPI Number | 1235892084 |
|---|---|
| Provider Enumeration Date | 10/19/2021 |
| Last Update Date | 12/17/2022 |
| Certification Date | 08/02/2022 |
| Medicare PECOS PAC ID | 7416306766 |
|---|---|
| Medicare Enrollment ID | O20231212001006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235892084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Lamika Banks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356389415 PECOS PAC ID: 8921999855 Enrollment ID: I20231212001095 |
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