| Pegasus Therapy Llc | |
|
635 Saint Andrews Saint Clair MI 48079-4295 | |
| (810) 650-2732 | |
| Not Available |
| Full Name | Pegasus Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 635 Saint Andrews, Saint Clair, Michigan |
| Authorized Official Name and Position | Tamara G Shivers (PRESIDENT) |
| Authorized Official Contact | 8106502732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pegasus Therapy Llc 635 Saint Andrews Saint Clair MI 48079-4295 Ph: () - | Pegasus Therapy Llc 635 Saint Andrews Saint Clair MI 48079-4295 Ph: (810) 650-2732 |
| NPI Number | 1578206363 |
|---|---|
| Provider Enumeration Date | 04/19/2022 |
| Last Update Date | 04/19/2022 |
| Certification Date | 04/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578206363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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