| Levalley Integrated Services Llc | |
|
6378 Bishop Rd Lansing MI 48911-6211 | |
| (517) 648-8795 | |
| (517) 323-9531 |
| Full Name | Levalley Integrated Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6378 Bishop Rd, Lansing, Michigan |
| Authorized Official Name and Position | Cathy Gallegos (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5174832461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Levalley Integrated Services Llc 6378 Bishop Rd Lansing MI 48911-6211 Ph: (517) 648-8795 | Levalley Integrated Services Llc 6378 Bishop Rd Lansing MI 48911-6211 Ph: (517) 648-8795 |
| NPI Number | 1700583051 |
|---|---|
| Provider Enumeration Date | 02/07/2023 |
| Last Update Date | 02/07/2023 |
| Certification Date | 02/07/2023 |
| Medicare PECOS PAC ID | 5193251320 |
|---|---|
| Medicare Enrollment ID | O20241211000279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700583051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Danielle Thornes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548780794 PECOS PAC ID: 2961811823 Enrollment ID: I20210505000238 |
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