| Peace Of Mind Therapy Services | |
|
8308 Office Park Dr Ste 2 Grand Blanc MI 48439-2075 | |
| (810) 226-9202 | |
| Not Available |
| Full Name | Peace Of Mind Therapy Services |
|---|---|
| Speciality | Social Worker |
| Location | 8308 Office Park Dr Ste 2, Grand Blanc, Michigan |
| Authorized Official Name and Position | Autumn Ward (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8102269202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Of Mind Therapy Services 8387 E Coldwater Rd Davison MI 48423-8966 Ph: (810) 226-9202 | Peace Of Mind Therapy Services 8308 Office Park Dr Ste 2 Grand Blanc MI 48439-2075 Ph: (810) 226-9202 |
| NPI Number | 1366080004 |
|---|---|
| Provider Enumeration Date | 12/12/2019 |
| Last Update Date | 12/16/2019 |
| Certification Date | 12/16/2019 |
| Medicare PECOS PAC ID | 6800222605 |
|---|---|
| Medicare Enrollment ID | O20200213001552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366080004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Autumn Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699069419 PECOS PAC ID: 8729303433 Enrollment ID: I20150220000303 |
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