| Guided Grace | |
|
1232 N Michigan Ave Saginaw MI 48602-4728 | |
| (989) 401-8990 | |
| (989) 401-8992 |
| Full Name | Guided Grace |
|---|---|
| Speciality | Social Worker |
| Location | 1232 N Michigan Ave, Saginaw, Michigan |
| Authorized Official Name and Position | Nicole Liggins (OWNER) |
| Authorized Official Contact | 9894018990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guided Grace 1232 N Michigan Ave Saginaw MI 48602-4728 Ph: (989) 401-8990 | Guided Grace 1232 N Michigan Ave Saginaw MI 48602-4728 Ph: (989) 401-8990 |
| NPI Number | 1821516840 |
|---|---|
| Provider Enumeration Date | 08/30/2017 |
| Last Update Date | 12/20/2019 |
| Certification Date | 12/20/2019 |
| Medicare PECOS PAC ID | 9032473210 |
|---|---|
| Medicare Enrollment ID | O20180516001884 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821516840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801081858 (Michigan) | Primary |
| Provider Name | Edward C Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164675047 PECOS PAC ID: 1052469996 Enrollment ID: I20090501000335 |
| Provider Name | Trisha Taylor Mclemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568850196 PECOS PAC ID: 3870818552 Enrollment ID: I20150223000238 |
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