| Intimate Wellness Llc | |
|
350 N Court St Ste 208 Lapeer MI 48446-2263 | |
| (810) 441-2047 | |
| Not Available |
| Full Name | Intimate Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 350 N Court St Ste 208, Lapeer, Michigan |
| Authorized Official Name and Position | Chelsey Edwards (OWNER) |
| Authorized Official Contact | 8104412047 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intimate Wellness Llc 350 N Court St Ste 208 Lapeer MI 48446-2263 Ph: (810) 441-2047 | Intimate Wellness Llc 350 N Court St Ste 208 Lapeer MI 48446-2263 Ph: (810) 441-2047 |
| NPI Number | 1871067108 |
|---|---|
| Provider Enumeration Date | 01/21/2019 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Medicare PECOS PAC ID | 0446597934 |
|---|---|
| Medicare Enrollment ID | O20190122001775 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871067108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Chelsey L Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437412673 PECOS PAC ID: 8123326550 Enrollment ID: I20160418001847 |
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