| Maraki Llc | |
|
724 Main St Norway MI 49870-1248 | |
| (906) 221-5059 | |
| Not Available |
| Full Name | Maraki Llc |
|---|---|
| Speciality | Social Worker |
| Location | 724 Main St, Norway, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maraki Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Maraki Llc 724 Main St Norway MI 49870-1248 Ph: (906) 221-5059 |
| NPI Number | 1467964932 |
|---|---|
| Provider Enumeration Date | 10/24/2017 |
| Last Update Date | 07/14/2020 |
| Certification Date | 07/14/2020 |
| Medicare PECOS PAC ID | 5698032522 |
|---|---|
| Medicare Enrollment ID | O20171201001573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467964932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Brittany L Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750603304 PECOS PAC ID: 6204071103 Enrollment ID: I20130325000537 |
| Provider Name | Alexandra Constantini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629571641 PECOS PAC ID: 4587025796 Enrollment ID: I20230804000373 |
David B. Van Holla, M.d., Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 Main St, Norway, MI 49870 Phone: 906-779-7001 Fax: 906-779-7006 |