| Nurturing Selves | |
|
1507 E Pierson Rd Flushing MI 48433-1816 | |
| (810) 964-9242 | |
| Not Available |
| Full Name | Nurturing Selves |
|---|---|
| Speciality | Clinic/Center |
| Location | 1507 E Pierson Rd, Flushing, Michigan |
| Authorized Official Name and Position | Paula M Archambault Selves (DIRECTOR/CHILD AND FAMILY THERAPY) |
| Authorized Official Contact | 8109649242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nurturing Selves 6531 N Seymour Rd Flushing MI 48433-1007 Ph: (810) 964-9242 | Nurturing Selves 1507 E Pierson Rd Flushing MI 48433-1816 Ph: (810) 964-9242 |
| NPI Number | 1740991769 |
|---|---|
| Provider Enumeration Date | 12/09/2022 |
| Last Update Date | 12/09/2022 |
| Certification Date | 12/09/2022 |
| Medicare PECOS PAC ID | 2466824834 |
|---|---|
| Medicare Enrollment ID | O20230213000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740991769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Paula M Archambault Selves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558385864 PECOS PAC ID: 7214017367 Enrollment ID: I20080103000592 |
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