| Supporting Hands, Llc | |
|
1510 Wingate Blvd Ypsilanti MI 48198-6530 | |
| (248) 837-5877 | |
| Not Available |
| Full Name | Supporting Hands, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1510 Wingate Blvd, Ypsilanti, Michigan |
| Authorized Official Name and Position | Ebony Payns (THERAPIST) |
| Authorized Official Contact | 2488375877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supporting Hands, Llc 1510 Wingate Blvd Ypsilanti MI 48198-6530 Ph: (248) 837-5877 | Supporting Hands, Llc 1510 Wingate Blvd Ypsilanti MI 48198-6530 Ph: (248) 837-5877 |
| NPI Number | 1942708409 |
|---|---|
| Provider Enumeration Date | 01/30/2018 |
| Last Update Date | 01/30/2018 |
| Medicare PECOS PAC ID | 5092067215 |
|---|---|
| Medicare Enrollment ID | O20181016001469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942708409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 6801092438 (Michigan) | Primary |
| Provider Name | Ebony B Payns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013202456 PECOS PAC ID: 5799047460 Enrollment ID: I20180315002057 |
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