| M & M Mind And Body Therapy | |
|
2080 Whittaker Rd Ste 164 Ypsilanti MI 48197-8238 | |
| (734) 612-7991 | |
| Not Available |
| Full Name | M & M Mind And Body Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 2080 Whittaker Rd Ste 164, Ypsilanti, Michigan |
| Authorized Official Name and Position | Mylah Ivory (OWNER) |
| Authorized Official Contact | 7346127991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M & M Mind And Body Therapy 2080 Whittaker Rd Ste 164 Ypsilanti MI 48197-8238 Ph: (734) 612-7991 | M & M Mind And Body Therapy 2080 Whittaker Rd Ste 164 Ypsilanti MI 48197-8238 Ph: (734) 612-7991 |
| NPI Number | 1780256834 |
|---|---|
| Provider Enumeration Date | 07/16/2021 |
| Last Update Date | 07/16/2021 |
| Certification Date | 07/16/2021 |
| Medicare PECOS PAC ID | 3971022286 |
|---|---|
| Medicare Enrollment ID | O20250529001614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780256834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mylah Ivory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619313947 PECOS PAC ID: 4183134372 Enrollment ID: I20250606002821 |
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