| Superior Potential P.l.l.c. | |
|
7602 State Highway M123 Newberry MI 49868-8128 | |
| (906) 322-9576 | |
| (906) 293-7150 |
| Full Name | Superior Potential P.l.l.c. |
|---|---|
| Speciality | Social Worker |
| Location | 7602 State Highway M123, Newberry, Michigan |
| Authorized Official Name and Position | Laura Lynn Generou (OWNER/CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9063229576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Potential P.l.l.c. 7602 State Highway M123 Newberry MI 49868-8128 Ph: (906) 322-9576 | Superior Potential P.l.l.c. 7602 State Highway M123 Newberry MI 49868-8128 Ph: (906) 322-9576 |
| NPI Number | 1356087530 |
|---|---|
| Provider Enumeration Date | 05/10/2022 |
| Last Update Date | 05/10/2022 |
| Certification Date | 05/10/2022 |
| Medicare PECOS PAC ID | 3375921901 |
|---|---|
| Medicare Enrollment ID | O20220609001427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356087530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Laura Lynn Generou |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629543855 PECOS PAC ID: 2668725821 Enrollment ID: I20181105003488 |
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