| Leap Therapy Services LLC | |
|
10079 Bergin Rd Howell MI 48843-7049 | |
| (517) 304-1835 | |
| Not Available |
| Full Name | Leap Therapy Services LLC |
|---|---|
| Speciality | Social Worker |
| Location | 10079 Bergin Rd, Howell, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leap Therapy Services LLC Po Box 10 Mason MI 48854-0010 | Leap Therapy Services LLC 10079 Bergin Rd Howell MI 48843-7049 Ph: (517) 304-1835 |
| NPI Number | 1386490548 |
|---|---|
| Provider Enumeration Date | 04/29/2024 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Medicare PECOS PAC ID | 7911348222 |
|---|---|
| Medicare Enrollment ID | O20240516002697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386490548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | () | Primary |
| Provider Name | Nicola Claire Herman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215502091 PECOS PAC ID: 6002216371 Enrollment ID: I20210609000823 |
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