| Restorative Pathways, Llc | |
|
71 Walnut Blvd Ste 109 Rochester MI 48307-2073 | |
| (248) 657-7875 | |
| Not Available |
| Full Name | Restorative Pathways, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 71 Walnut Blvd Ste 109, Rochester, Michigan |
| Authorized Official Name and Position | Robin Kim (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 6513289274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Pathways, Llc 71 Walnut Blvd Ste 109 Rochester MI 48307-2073 Ph: (651) 328-9274 | Restorative Pathways, Llc 71 Walnut Blvd Ste 109 Rochester MI 48307-2073 Ph: (248) 657-7875 |
| NPI Number | 1326889569 |
|---|---|
| Provider Enumeration Date | 06/03/2024 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Medicare PECOS PAC ID | 7214465301 |
|---|---|
| Medicare Enrollment ID | O20250117000855 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326889569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Robin Nicole Kim |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205142882 PECOS PAC ID: 8123556214 Enrollment ID: I20250117000962 |
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