| Michigan Senior Mental Health Specialists Llc | |
|
5448 W Farrand Rd Clio MI 48420-8204 | |
| (810) 533-1476 | |
| Not Available |
| Full Name | Michigan Senior Mental Health Specialists Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5448 W Farrand Rd, Clio, Michigan |
| Authorized Official Name and Position | Mary Moritz (OWNER) |
| Authorized Official Contact | 8105331476 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Senior Mental Health Specialists Llc 5448 W Farrand Rd Clio MI 48420-8204 Ph: (810) 533-1476 | Michigan Senior Mental Health Specialists Llc 5448 W Farrand Rd Clio MI 48420-8204 Ph: (810) 533-1476 |
| NPI Number | 1407631401 |
|---|---|
| Provider Enumeration Date | 08/28/2023 |
| Last Update Date | 08/28/2023 |
| Certification Date | 08/28/2023 |
| Medicare PECOS PAC ID | 5991151961 |
|---|---|
| Medicare Enrollment ID | O20231026003611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407631401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mary Moritz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629509187 PECOS PAC ID: 3971866351 Enrollment ID: I20180417002721 |
| Provider Name | Paula Lynn Walko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093247728 PECOS PAC ID: 6709114069 Enrollment ID: I20190823001927 |
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