| Fostering Fortitude Mental Health And Wellness Llc | |
|
4896 Chilson Rd Howell MI 48843-9453 | |
| (989) 520-4744 | |
| Not Available |
| Full Name | Fostering Fortitude Mental Health And Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4896 Chilson Rd, Howell, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fostering Fortitude Mental Health And Wellness Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Fostering Fortitude Mental Health And Wellness Llc 4896 Chilson Rd Howell MI 48843-9453 Ph: (989) 520-4744 |
| NPI Number | 1821870544 |
|---|---|
| Provider Enumeration Date | 10/17/2023 |
| Last Update Date | 10/17/2023 |
| Certification Date | 10/17/2023 |
| Medicare PECOS PAC ID | 7214384700 |
|---|---|
| Medicare Enrollment ID | O20231106000132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821870544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Kelly Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265081061 PECOS PAC ID: 9133580764 Enrollment ID: I20230731000615 |
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