| Mia Online Therapy Services, LLC | |
|
1259 Terrace Ave Adrian MI 49221-1837 | |
| (313) 409-3120 | |
| Not Available |
| Full Name | Mia Online Therapy Services, LLC |
|---|---|
| Speciality | Social Worker |
| Location | 1259 Terrace Ave, Adrian, Michigan |
| Authorized Official Name and Position | Mirjana Jovicic (SOCIAL WORKER- CLINICAL/ THERAPIST) |
| Authorized Official Contact | 3134093120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mia Online Therapy Services, LLC 1259 Terrace Ave Adrian MI 49221-1837 Ph: (313) 409-3120 | Mia Online Therapy Services, LLC 1259 Terrace Ave Adrian MI 49221-1837 Ph: (313) 409-3120 |
| NPI Number | 1679246714 |
|---|---|
| Provider Enumeration Date | 07/26/2021 |
| Last Update Date | 11/03/2024 |
| Certification Date | 11/03/2024 |
| Medicare PECOS PAC ID | 6608302690 |
|---|---|
| Medicare Enrollment ID | O20241213002671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679246714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Secondary |
| 101YP2500X | Counselor - Professional | () | Secondary |
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Mirjana Jovicic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912570110 PECOS PAC ID: 0345632733 Enrollment ID: I20220114001185 |
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