Peace Of Mind, Llc | |
41750 Foster Dr Unit 204 Novi MI 48375-1976 | |
(248) 767-1519 | |
Not Available |
Full Name | Peace Of Mind, Llc |
---|---|
Speciality | Clinic/Center |
Location | 41750 Foster Dr Unit 204, Novi, Michigan |
Authorized Official Name and Position | Natalie Poole (OWNER) |
Authorized Official Contact | 2487671519 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Peace Of Mind, Llc 41750 Foster Dr Unit 204 Novi MI 48375-1976 Ph: (248) 767-1519 | Peace Of Mind, Llc 41750 Foster Dr Unit 204 Novi MI 48375-1976 Ph: (248) 767-1519 |
NPI Number | 1619595832 |
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Provider Enumeration Date | 07/14/2020 |
Last Update Date | 07/14/2020 |
Certification Date | 07/14/2020 |
Medicare PECOS PAC ID | 9638573678 |
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Medicare Enrollment ID | O20210812001448 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619595832 | NPI | - | NPPES |
1457905614 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Natalie Poole |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457905614 PECOS PAC ID: 9234153131 Enrollment ID: I20191118002134 |
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