| Samantha Cecil, Lmsw, Pllc | |
|
3300 Washtenaw Ave Ste 282 Ann Arbor MI 48104-5184 | |
| (734) 623-9716 | |
| Not Available |
| Full Name | Samantha Cecil, Lmsw, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3300 Washtenaw Ave Ste 282, Ann Arbor, Michigan |
| Authorized Official Name and Position | Samantha Jean Cecil (OWNER) |
| Authorized Official Contact | 7346239716 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Cecil, Lmsw, Pllc Po Box 2265 Ann Arbor MI 48106-2265 Ph: (734) 623-9716 | Samantha Cecil, Lmsw, Pllc 3300 Washtenaw Ave Ste 282 Ann Arbor MI 48104-5184 Ph: (734) 623-9716 |
| NPI Number | 1669106423 |
|---|---|
| Provider Enumeration Date | 07/15/2022 |
| Last Update Date | 07/15/2022 |
| Certification Date | 07/14/2022 |
| Medicare PECOS PAC ID | 2264870559 |
|---|---|
| Medicare Enrollment ID | O20240405000618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669106423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Samantha Jean Cecil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619306396 PECOS PAC ID: 6406295138 Enrollment ID: I20240415002029 |
Mary K Anderson Phd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 N 1st St, Ste 1, Ann Arbor, MI 48104 Phone: 734-327-5934 | |
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