Middle Path Llc | |
240 W Main St Ste 2600 Midland MI 48640-5191 | |
(989) 906-0433 | |
Not Available |
Full Name | Middle Path Llc |
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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 |
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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 |
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Provider Enumeration Date | 10/30/2020 |
Last Update Date | 10/30/2020 |
Certification Date | 10/30/2020 |
Medicare PECOS PAC ID | 3476930835 |
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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 |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548212327 PECOS PAC ID: 2860409059 Enrollment ID: I20060313000698 |
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