| Life Changing Therapeutic Services, Llc | |
|
25645 Kilreigh Dr Farmington Hills MI 48336-1552 | |
| (313) 475-0332 | |
| Not Available |
| Full Name | Life Changing Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 25645 Kilreigh Dr, Farmington Hills, Michigan |
| Authorized Official Name and Position | Gricelda Ramsey (OWNER) |
| Authorized Official Contact | 3134750332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Changing Therapeutic Services, Llc 25645 Kilreigh Dr Farmington Hills MI 48336-1552 Ph: (313) 475-0332 | Life Changing Therapeutic Services, Llc 25645 Kilreigh Dr Farmington Hills MI 48336-1552 Ph: (313) 475-0332 |
| NPI Number | 1043832926 |
|---|---|
| Provider Enumeration Date | 05/13/2020 |
| Last Update Date | 05/13/2020 |
| Certification Date | 05/13/2020 |
| Medicare PECOS PAC ID | 7315368305 |
|---|---|
| Medicare Enrollment ID | O20200529000934 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043832926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Gricelda R Ramsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003237595 PECOS PAC ID: 5890925952 Enrollment ID: I20140311001583 |
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