| Growing Through It Therapy, Pc | |
|
6295 N Elms Rd Flushing MI 48433-9002 | |
| (810) 955-2093 | |
| (810) 309-8833 |
| Full Name | Growing Through It Therapy, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 6295 N Elms Rd, Flushing, Michigan |
| Authorized Official Name and Position | Samantha Marie Mccullough (PRESIDENT) |
| Authorized Official Contact | 8109552093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Growing Through It Therapy, Pc 2169 W Vienna Rd Ste 162 Clio MI 48420-1757 Ph: (810) 243-2660 | Growing Through It Therapy, Pc 6295 N Elms Rd Flushing MI 48433-9002 Ph: (810) 955-2093 |
| NPI Number | 1144942020 |
|---|---|
| Provider Enumeration Date | 09/16/2022 |
| Last Update Date | 09/16/2022 |
| Certification Date | 09/16/2022 |
| Medicare PECOS PAC ID | 0749636561 |
|---|---|
| Medicare Enrollment ID | O20231030002649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144942020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Samantha Mccullough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952855157 PECOS PAC ID: 2567818388 Enrollment ID: I20231030002731 |
| Provider Name | Jessica Marie Hammon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114496817 PECOS PAC ID: 3375991920 Enrollment ID: I20231121001580 |
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