| Pats Psychological Services Llc | |
|
808 W Lake Lansing Rd Ste 200 East Lansing MI 48823-6322 | |
| (517) 705-3202 | |
| Not Available |
| Full Name | Pats Psychological Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 808 W Lake Lansing Rd Ste 200, East Lansing, Michigan |
| Authorized Official Name and Position | Elizabeth Mary Davis-pennington (OWNER) |
| Authorized Official Contact | 5175889313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pats Psychological Services Llc 808 W Lake Lansing Rd Ste 200 East Lansing MI 48823-6322 Ph: (517) 705-3202 | Pats Psychological Services Llc 808 W Lake Lansing Rd Ste 200 East Lansing MI 48823-6322 Ph: (517) 705-3202 |
| NPI Number | 1780287128 |
|---|---|
| Provider Enumeration Date | 11/18/2020 |
| Last Update Date | 10/19/2023 |
| Certification Date | 10/19/2023 |
| Medicare PECOS PAC ID | 8123431814 |
|---|---|
| Medicare Enrollment ID | O20210120000871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780287128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Mary Davis-pennington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013503713 PECOS PAC ID: 9032522727 Enrollment ID: I20210120000984 |
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