| Jc Foundations Violet Flame Enlightenment And Healing Center Llc | |
|
25915 Harper Ave Ste A Saint Clair Shores MI 48081-3770 | |
| (313) 695-4201 | |
| Not Available |
| Full Name | Jc Foundations Violet Flame Enlightenment And Healing Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 25915 Harper Ave Ste A, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Jessica Cottrell (OWNER) |
| Authorized Official Contact | 3136954201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jc Foundations Violet Flame Enlightenment And Healing Center Llc 25915 Harper Ave Ste A Saint Clair Shores MI 48081-3770 Ph: (313) 695-4201 | Jc Foundations Violet Flame Enlightenment And Healing Center Llc 25915 Harper Ave Ste A Saint Clair Shores MI 48081-3770 Ph: (313) 695-4201 |
| NPI Number | 1134811227 |
|---|---|
| Provider Enumeration Date | 05/25/2023 |
| Last Update Date | 02/14/2025 |
| Certification Date | 02/14/2025 |
| Medicare PECOS PAC ID | 8123541711 |
|---|---|
| Medicare Enrollment ID | O20250324003410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134811227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jessica Cottrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770933020 PECOS PAC ID: 9032632625 Enrollment ID: I20250324003451 |
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