| In Peace Counseling Services Llc | |
|
30400 Telegraph Rd Suite 331 Bingham Farms MI 48025-4537 | |
| (248) 645-5960 | |
| (248) 645-0562 |
| Full Name | In Peace Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 30400 Telegraph Rd, Bingham Farms, Michigan |
| Authorized Official Name and Position | Mikayla Tanner (OWNER) |
| Authorized Official Contact | 2486455960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| In Peace Counseling Services Llc 30400 Telegraph Rd Suite 331 Bingham Farms MI 48025-4537 Ph: (248) 645-5960 | In Peace Counseling Services Llc 30400 Telegraph Rd Suite 331 Bingham Farms MI 48025-4537 Ph: (248) 645-5960 |
| NPI Number | 1033424874 |
|---|---|
| Provider Enumeration Date | 08/17/2010 |
| Last Update Date | 04/28/2016 |
| Medicare PECOS PAC ID | 1951587591 |
|---|---|
| Medicare Enrollment ID | O20110517000386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033424874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801077738 (Michigan) | Primary |
| Provider Name | Mikayla L Tanner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487859005 PECOS PAC ID: 5395921936 Enrollment ID: I20110517000420 |
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