| Grounded In Hope, Pllc | |
|
2311 E Stadium Blvd Ste 109-a Ann Arbor MI 48104-4833 | |
| (734) 412-8282 | |
| Not Available |
| Full Name | Grounded In Hope, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2311 E Stadium Blvd Ste 109-a, Ann Arbor, Michigan |
| Authorized Official Name and Position | Amy Breza (OWNER) |
| Authorized Official Contact | 7344128282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grounded In Hope, Pllc 2311 E Stadium Blvd Ste 109-a Ann Arbor MI 48104-4833 Ph: (734) 412-8282 | Grounded In Hope, Pllc 2311 E Stadium Blvd Ste 109-a Ann Arbor MI 48104-4833 Ph: (734) 412-8282 |
| NPI Number | 1568124345 |
|---|---|
| Provider Enumeration Date | 10/09/2021 |
| Last Update Date | 10/09/2021 |
| Certification Date | 10/09/2021 |
| Medicare PECOS PAC ID | 3274922414 |
|---|---|
| Medicare Enrollment ID | O20211110000717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568124345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amy B Breza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386944262 PECOS PAC ID: 4183013329 Enrollment ID: I20211110000813 |
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