| Mind Body And Soul Integrative Services Llc | |
|
3114 Pinegate Dr Flushing MI 48433-2427 | |
| (810) 691-8869 | |
| Not Available |
| Full Name | Mind Body And Soul Integrative Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3114 Pinegate Dr, Flushing, Michigan |
| Authorized Official Name and Position | Lyndsey Rodgers (OWNER) |
| Authorized Official Contact | 8106918869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body And Soul Integrative Services Llc 3114 Pinegate Dr Flushing MI 48433-2427 Ph: (810) 659-7592 | Mind Body And Soul Integrative Services Llc 3114 Pinegate Dr Flushing MI 48433-2427 Ph: (810) 691-8869 |
| NPI Number | 1912680422 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 08/10/2023 |
| Certification Date | 08/10/2023 |
| Medicare PECOS PAC ID | 6305290339 |
|---|---|
| Medicare Enrollment ID | O20230926000386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912680422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Lyndsey A Rodgers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659508661 PECOS PAC ID: 6608022629 Enrollment ID: I20120807000881 |
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