| Jamie L Bodenhafer Llc | |
|
17657 Avilla Blvd Lathrup Village MI 48076-2732 | |
| (248) 259-3527 | |
| Not Available |
| Full Name | Jamie L Bodenhafer Llc |
|---|---|
| Speciality | Social Worker |
| Location | 17657 Avilla Blvd, Lathrup Village, Michigan |
| Authorized Official Name and Position | Jamie Lorraine Bodenhafer (CLINCAL SOCIAL WORKER/ADMINISTRATOR) |
| Authorized Official Contact | 2482593527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie L Bodenhafer Llc 17657 Avilla Blvd Lathrup Village MI 48076-2732 Ph: (248) 259-3527 | Jamie L Bodenhafer Llc 17657 Avilla Blvd Lathrup Village MI 48076-2732 Ph: (248) 259-3527 |
| NPI Number | 1104129782 |
|---|---|
| Provider Enumeration Date | 12/21/2010 |
| Last Update Date | 12/21/2010 |
| Medicare PECOS PAC ID | 4587843842 |
|---|---|
| Medicare Enrollment ID | O20110119000952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104129782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801087081 (Michigan) | Primary |
| Provider Name | Jamie L Bodenhafer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508909532 PECOS PAC ID: 7911090683 Enrollment ID: I20080519000690 |
Psych To Site Wellness Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 28440 Southfield Rd, Lathrup Village, MI 48076 Phone: 248-557-4420 | |
Stop The Violence Prevention Outreach Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 28820 Southfield Rd Ste 124, Lathrup Village, MI 48076 Phone: 313-221-3000 Fax: 844-500-0445 | |
Thomas Psychological Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27375 Bloomfield Dr, Lathrup Village, MI 48076 Phone: 248-217-5769 | |
American Institute Of Neurological Disorders Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 18535 W 12 Mile Rd, Suite A, Lathrup Village, MI 48076 Phone: 248-552-3734 Fax: 248-552-3736 | |
Adult & Family Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27350 Southfield Rd, Lathrup Village, MI 48076 Phone: 248-219-2920 Fax: 248-541-4341 | |
Cle Strategic Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17553 Cambridge Blvd, Lathrup Village, MI 48076 Phone: 313-784-4795 |