| Take Flight Wellness Llc | |
|
15343 Warwick St Detroit MI 48223-1720 | |
| (313) 687-9007 | |
| Not Available |
| Full Name | Take Flight Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 15343 Warwick St, Detroit, Michigan |
| Authorized Official Name and Position | Jessica Nicole Mayfield-ashwood (OWNER) |
| Authorized Official Contact | 3136879007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Take Flight Wellness Llc 15343 Warwick St Detroit MI 48223-1720 Ph: (313) 687-9007 | Take Flight Wellness Llc 15343 Warwick St Detroit MI 48223-1720 Ph: (313) 687-9007 |
| NPI Number | 1811713035 |
|---|---|
| Provider Enumeration Date | 12/03/2024 |
| Last Update Date | 12/03/2024 |
| Certification Date | 12/03/2024 |
| Medicare PECOS PAC ID | 8325576192 |
|---|---|
| Medicare Enrollment ID | O20250107001597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811713035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jessica Nicole Mayfield-ashwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205484540 PECOS PAC ID: 2567834179 Enrollment ID: I20230208001101 |
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