| Shiawassee Health & Wellness | |
|
1555 Industrial Dr Owosso MI 48867-9775 | |
| (989) 723-6791 | |
| (989) 725-5061 |
| Full Name | Shiawassee Health & Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 1555 Industrial Dr, Owosso, Michigan |
| Authorized Official Name and Position | Laura Stephen (FINANCIAL SERVICES SUPERVISOR) |
| Authorized Official Contact | 9897230732 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shiawassee Health & Wellness 1555 Industrial Dr Owosso MI 48867-9775 Ph: (989) 723-6791 | Shiawassee Health & Wellness 1555 Industrial Dr Owosso MI 48867-9775 Ph: (989) 723-6791 |
| NPI Number | 1497749279 |
|---|---|
| Provider Enumeration Date | 09/07/2005 |
| Last Update Date | 01/18/2018 |
| Medicare PECOS PAC ID | 6002702750 |
|---|---|
| Medicare Enrollment ID | O20040227000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497749279 | NPI | - | NPPES |
| P10G81020 | Other | MI | BCBS |
| 0G86005 | Other | MI | BCBS |
| 105813 | Other | VALUE OPTIONS | |
| 0G86087 | Other | MI | BCBS |
| 774351238 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Michigan) | Primary |
| Provider Name | Razvan Adam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124118955 PECOS PAC ID: 2567477870 Enrollment ID: I20060208000045 |
| Provider Name | Martha Hashimoto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699828293 PECOS PAC ID: 8527075480 Enrollment ID: I20060317000139 |
| Provider Name | Melissa Dohring |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235653494 PECOS PAC ID: 9234401837 Enrollment ID: I20170816003598 |
| Provider Name | Ralph Saintfort |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184617995 PECOS PAC ID: 6002843810 Enrollment ID: I20180808001391 |
| Provider Name | Jaskirit Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962846147 PECOS PAC ID: 1052669579 Enrollment ID: I20200727001456 |
| Provider Name | Angela Raylynne Porta |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1083913628 PECOS PAC ID: 9830559095 Enrollment ID: I20230719002065 |
| Provider Name | Tamara J Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225311137 PECOS PAC ID: 4587016209 Enrollment ID: I20240118002099 |
Rural Hub Psychiatry Services Management Company Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W Exchange St, Owosso, MI 48867 Phone: 989-675-7910 Fax: 989-256-0767 | |
R U Ready Recovery Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 E Mason St Apt 4, Owosso, MI 48867 Phone: 616-437-5687 | |
Soul Garden Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1953 Ketegawn Rd, Owosso, MI 48867 Phone: 720-220-8106 | |
Mid-michigan Behavioral Health, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 802 W King St Ste G, Owosso, MI 48867 Phone: 989-725-8124 Fax: 989-723-1205 | |
Carol Berger Professional Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 W Exchange St Ste 201, Owosso, MI 48867 Phone: 989-445-0011 | |
Shiawassee Health & Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1555 Industrial Dr, Owosso, MI 48867 Phone: 989-723-6791 Fax: 989-723-3191 | |
Consumer Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 S Washington St, Owosso, MI 48867 Phone: 989-723-0330 Fax: 989-723-0327 |