| Footprints Counseling And Consulting | |
|
4005 E 11 Mile Rd Ste 175 Warren MI 48092-3000 | |
| (947) 517-7033 | |
| (517) 323-9531 |
| Full Name | Footprints Counseling And Consulting |
|---|---|
| Speciality | Social Worker |
| Location | 4005 E 11 Mile Rd Ste 175, Warren, Michigan |
| Authorized Official Name and Position | Cathy Gallegos (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5174832461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Footprints Counseling And Consulting 4005 E 11 Mile Rd Ste 175 Warren MI 48092-3000 Ph: (947) 517-7033 | Footprints Counseling And Consulting 4005 E 11 Mile Rd Ste 175 Warren MI 48092-3000 Ph: (947) 517-7033 |
| NPI Number | 1841928371 |
|---|---|
| Provider Enumeration Date | 08/11/2022 |
| Last Update Date | 10/17/2022 |
| Certification Date | 10/17/2022 |
| Medicare PECOS PAC ID | 7113393588 |
|---|---|
| Medicare Enrollment ID | O20221026002686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841928371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Toccara E Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568813871 PECOS PAC ID: 5496162372 Enrollment ID: I20210319000890 |
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