| Grace Behavioral Health Of Michigan | |
|
134 W Middle St Ste I Chelsea MI 48118-1515 | |
| (248) 491-8840 | |
| (248) 592-7240 |
| Full Name | Grace Behavioral Health Of Michigan |
|---|---|
| Speciality | Social Worker |
| Location | 134 W Middle St Ste I, Chelsea, Michigan |
| Authorized Official Name and Position | Katrina M Milliken (OWNER/THERAPIST) |
| Authorized Official Contact | 2489783584 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Behavioral Health Of Michigan 572 Pleasant Dr Gregory MI 48137-9580 Ph: (248) 978-3584 | Grace Behavioral Health Of Michigan 134 W Middle St Ste I Chelsea MI 48118-1515 Ph: (248) 491-8840 |
| NPI Number | 1306401484 |
|---|---|
| Provider Enumeration Date | 05/05/2019 |
| Last Update Date | 02/09/2023 |
| Certification Date | 02/09/2023 |
| Medicare PECOS PAC ID | 6204272503 |
|---|---|
| Medicare Enrollment ID | O20240308002159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306401484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Katrina Marie Milliken |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619288636 PECOS PAC ID: 7012353311 Enrollment ID: I20240308002282 |
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