| Living Grateful Behavioral Health Services | |
|
209 E Washington Ave Ste 180-b Jackson MI 49201-2393 | |
| (517) 748-7075 | |
| (517) 518-8829 |
| Full Name | Living Grateful Behavioral Health Services |
|---|---|
| Speciality | Social Worker |
| Location | 209 E Washington Ave Ste 180-b, Jackson, Michigan |
| Authorized Official Name and Position | William Mure (OWNER) |
| Authorized Official Contact | 5177487075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Grateful Behavioral Health Services 209 E Washington Ave Ste 180-b Jackson MI 49201-2393 Ph: (517) 748-7075 | Living Grateful Behavioral Health Services 209 E Washington Ave Ste 180-b Jackson MI 49201-2393 Ph: (517) 748-7075 |
| NPI Number | 1578138087 |
|---|---|
| Provider Enumeration Date | 05/26/2021 |
| Last Update Date | 01/23/2023 |
| Certification Date | 01/23/2023 |
| Medicare PECOS PAC ID | 5294132981 |
|---|---|
| Medicare Enrollment ID | O20210922003125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578138087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | William A Mure |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548757503 PECOS PAC ID: 7214352947 Enrollment ID: I20200729000622 |
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