| Integrative Psychotherapy Services Llc | |
|
44444 Mound Rd Ste 650 Sterling Heights MI 48314-1355 | |
| (586) 623-5095 | |
| (734) 207-5326 |
| Full Name | Integrative Psychotherapy Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 44444 Mound Rd Ste 650, Sterling Heights, Michigan |
| Authorized Official Name and Position | Tammy Lesniak (LMSW/OWNER) |
| Authorized Official Contact | 5866235095 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Psychotherapy Services Llc 44444 Mound Rd Ste 650 Sterling Heights MI 48314-1355 Ph: (586) 623-5095 | Integrative Psychotherapy Services Llc 44444 Mound Rd Ste 650 Sterling Heights MI 48314-1355 Ph: (586) 623-5095 |
| NPI Number | 1467915496 |
|---|---|
| Provider Enumeration Date | 04/08/2019 |
| Last Update Date | 04/08/2019 |
| Medicare PECOS PAC ID | 3072922509 |
|---|---|
| Medicare Enrollment ID | O20210512002312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467915496 | NPI | - | NPPES |
| 1487026902 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tammy Lesniak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487026902 PECOS PAC ID: 8426467952 Enrollment ID: I20210512002454 |
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