| Purple Change Wellness Llc | |
|
7445 Allen Rd Ste 110 Allen Park MI 48101-1959 | |
| (313) 914-4085 | |
| (313) 879-6549 |
| Full Name | Purple Change Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7445 Allen Rd Ste 110, Allen Park, Michigan |
| Authorized Official Name and Position | Angelah Cramer (FOUNDER, DIRECTOR, THERAPIST) |
| Authorized Official Contact | 3139144085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Purple Change Wellness Llc 7445 Allen Rd Ste 110 Allen Park MI 48101-1959 Ph: (313) 914-4085 | Purple Change Wellness Llc 7445 Allen Rd Ste 110 Allen Park MI 48101-1959 Ph: (313) 914-4085 |
| NPI Number | 1891321501 |
|---|---|
| Provider Enumeration Date | 03/14/2020 |
| Last Update Date | 04/17/2023 |
| Certification Date | 04/17/2023 |
| Medicare PECOS PAC ID | 5193199362 |
|---|---|
| Medicare Enrollment ID | O20230330000926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891321501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Angelah D Cramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265784011 PECOS PAC ID: 6305169756 Enrollment ID: I20141216001814 |
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