| Growing Wellness, Llc | |
|
888 W Big Beaver Rd Ste 780 Troy MI 48084-4745 | |
| (810) 292-1998 | |
| Not Available |
| Full Name | Growing Wellness, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 888 W Big Beaver Rd Ste 780, Troy, Michigan |
| Authorized Official Name and Position | Patricia L Tieman (OWNER) |
| Authorized Official Contact | 8102921998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Growing Wellness, Llc 888 W Big Beaver Rd Ste 780 Troy MI 48084-4745 Ph: (248) 270-8191 | Growing Wellness, Llc 888 W Big Beaver Rd Ste 780 Troy MI 48084-4745 Ph: (810) 292-1998 |
| NPI Number | 1245016823 |
|---|---|
| Provider Enumeration Date | 09/07/2023 |
| Last Update Date | 09/12/2023 |
| Certification Date | 09/12/2023 |
| Medicare PECOS PAC ID | 4981057676 |
|---|---|
| Medicare Enrollment ID | O20240130000644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245016823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Patricia Tieman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639535362 PECOS PAC ID: 0547530461 Enrollment ID: I20170725002560 |
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