| Luna Therapy Services | |
|
3101 Washington St Midland MI 48642-3752 | |
| (989) 859-9014 | |
| Not Available |
| Full Name | Luna Therapy Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 3101 Washington St, Midland, Michigan |
| Authorized Official Name and Position | Monique Mcmillan Reuter (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9898599014 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luna Therapy Services 3101 Washington St Midland MI 48642-3752 Ph: (989) 859-9014 | Luna Therapy Services 3101 Washington St Midland MI 48642-3752 Ph: (989) 859-9014 |
| NPI Number | 1427718238 |
|---|---|
| Provider Enumeration Date | 12/20/2021 |
| Last Update Date | 12/20/2021 |
| Certification Date | 12/20/2021 |
| Medicare PECOS PAC ID | 4385036805 |
|---|---|
| Medicare Enrollment ID | O20220113000621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427718238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Monique Mckay Mcmillan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295331098 PECOS PAC ID: 5294127718 Enrollment ID: I20220113000737 |
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