| Inner Dawn Llc | |
|
257 S Main St Ste 2 Onsted MI 49265-9682 | |
| (517) 292-3305 | |
| Not Available |
| Full Name | Inner Dawn Llc |
|---|---|
| Speciality | Social Worker |
| Location | 257 S Main St Ste 2, Onsted, Michigan |
| Authorized Official Name and Position | Nichole Bellfy (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5172923305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Dawn Llc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Inner Dawn Llc 257 S Main St Ste 2 Onsted MI 49265-9682 Ph: (517) 292-3305 |
| NPI Number | 1982105995 |
|---|---|
| Provider Enumeration Date | 02/25/2018 |
| Last Update Date | 12/10/2020 |
| Certification Date | 12/10/2020 |
| Medicare PECOS PAC ID | 0648534594 |
|---|---|
| Medicare Enrollment ID | O20180501002570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982105995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | 6801094666 (Michigan) | Secondary |
| Provider Name | Nichole Bellfy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255612164 PECOS PAC ID: 6709180490 Enrollment ID: I20160201000057 |
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