| Mi Quiet Oasis Therapy Llc. | |
|
2838 S 56th Ave Shelby MI 49455-9761 | |
| (231) 742-1208 | |
| Not Available |
| Full Name | Mi Quiet Oasis Therapy Llc. |
|---|---|
| Speciality | Social Worker |
| Location | 2838 S 56th Ave, Shelby, Michigan |
| Authorized Official Name and Position | Jennifer Leigh James-witteveen (OWNER/PROVIDER) |
| Authorized Official Contact | 2317421208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mi Quiet Oasis Therapy Llc. 2838 S 56th Ave Shelby MI 49455-9761 Ph: (231) 742-1208 | Mi Quiet Oasis Therapy Llc. 2838 S 56th Ave Shelby MI 49455-9761 Ph: (231) 742-1208 |
| NPI Number | 1023851110 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 06/13/2025 |
| Certification Date | 06/13/2025 |
| Medicare PECOS PAC ID | 5799211298 |
|---|---|
| Medicare Enrollment ID | O20241206003027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023851110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Leigh James-witteveen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902173784 PECOS PAC ID: 0042681736 Enrollment ID: I20241206003084 |
Three Cs Professional Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 E 6th St, Shelby, MI 49455 Phone: 616-450-2284 |