| Middle Path Llc | |
|
240 W Main St Ste 2600 Midland MI 48640-5191 | |
| (989) 906-0433 | |
| Not Available |
| Full Name | Middle Path Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 240 W Main St Ste 2600, Midland, Michigan |
| Authorized Official Name and Position | Sara Knutson (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 9899060433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Middle Path Llc 1807 Sylvan Ln Midland MI 48640-6760 Ph: (989) 906-0433 | Middle Path Llc 240 W Main St Ste 2600 Midland MI 48640-5191 Ph: (989) 906-0433 |
| NPI Number | 1518567221 |
|---|---|
| Provider Enumeration Date | 10/30/2020 |
| Last Update Date | 10/30/2020 |
| Certification Date | 10/30/2020 |
| Medicare PECOS PAC ID | 3476930835 |
|---|---|
| Medicare Enrollment ID | O20220524002841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518567221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Stacey M Herkner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548212327 PECOS PAC ID: 2860409059 Enrollment ID: I20060313000698 |
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