| Michigan Wellness Therapy, Llc | |
|
7330 East Michigan Ave Saline MI 48176 | |
| (734) 470-3500 | |
| Not Available |
| Full Name | Michigan Wellness Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7330 East Michigan Ave, Saline, Michigan |
| Authorized Official Name and Position | Jennifer Simms-coffey (OWNER) |
| Authorized Official Contact | 7344703500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Wellness Therapy, Llc 525 E Michigan Ave # 139 Saline MI 48176-1588 Ph: (734) 470-3500 | Michigan Wellness Therapy, Llc 7330 East Michigan Ave Saline MI 48176 Ph: (734) 470-3500 |
| NPI Number | 1871065029 |
|---|---|
| Provider Enumeration Date | 12/28/2018 |
| Last Update Date | 07/31/2020 |
| Certification Date | 07/31/2020 |
| Medicare PECOS PAC ID | 7911248638 |
|---|---|
| Medicare Enrollment ID | O20190408000292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871065029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Simms-coffey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801321310 PECOS PAC ID: 0547539496 Enrollment ID: I20170707002410 |
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