| Meaningful Life Therapy Services Llc | |
|
711 E Grand River Ave Ste A Brighton MI 48116-2474 | |
| (269) 873-5966 | |
| Not Available |
| Full Name | Meaningful Life Therapy Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 711 E Grand River Ave Ste A, Brighton, 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 |
|---|---|
| Meaningful Life Therapy Services Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Meaningful Life Therapy Services Llc 711 E Grand River Ave Ste A Brighton MI 48116-2474 Ph: (269) 873-5966 |
| NPI Number | 1063079770 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 05/29/2019 |
| Medicare PECOS PAC ID | 3274868377 |
|---|---|
| Medicare Enrollment ID | O20190711002064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063079770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rachael A Krefman Castellon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619221306 PECOS PAC ID: 9638481039 Enrollment ID: I20150626000769 |
| Provider Name | Amanda Limon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508318429 PECOS PAC ID: 6608258405 Enrollment ID: I20220726002193 |
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