| Taylor Life Center | |
|
585 Jewett Rd Mason MI 48854 | |
| (517) 676-5405 | |
| (517) 676-5460 |
| Full Name | Taylor Life Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 585 Jewett Rd, Mason, Michigan |
| Authorized Official Name and Position | Jennifer Anne Griese (BILLING DIRECTOR) |
| Authorized Official Contact | 5176765405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Life Center Po Box 289 Mason MI 48854-0289 Ph: (517) 676-5405 | Taylor Life Center 585 Jewett Rd Mason MI 48854 Ph: (517) 676-5405 |
| NPI Number | 1306876735 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 09/25/2023 |
| Certification Date | 04/12/2022 |
| Medicare PECOS PAC ID | 0840214789 |
|---|---|
| Medicare Enrollment ID | O20060119000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306876735 | NPI | - | NPPES |
| 1462371 | Medicaid | MI |
| Provider Name | Janet Gray Warner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609929421 PECOS PAC ID: 0941263750 Enrollment ID: I20041111000499 |
| Provider Name | Lisa Renee Haston-fuller |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1831298397 PECOS PAC ID: 3870549355 Enrollment ID: I20050328000951 |
| Provider Name | Gwendolyn M Pryor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932343308 PECOS PAC ID: 7911056866 Enrollment ID: I20090522000384 |
| Provider Name | Tammy A Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457501512 PECOS PAC ID: 9739354630 Enrollment ID: I20111205000212 |
| Provider Name | Alison D Chimner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780090951 PECOS PAC ID: 9739306861 Enrollment ID: I20140813000516 |
| Provider Name | Ruth Jandik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801286158 PECOS PAC ID: 8820313950 Enrollment ID: I20150213000348 |
| Provider Name | Gail I Kiacz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538485115 PECOS PAC ID: 9638484207 Enrollment ID: I20150812007533 |
| Provider Name | Jill J Thuston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679088850 PECOS PAC ID: 5890055214 Enrollment ID: I20180205000160 |
| Provider Name | Heather Akers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639602725 PECOS PAC ID: 4385984343 Enrollment ID: I20190329000511 |
| Provider Name | Regina Ann Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417216185 PECOS PAC ID: 4486982626 Enrollment ID: I20190826001820 |
| Provider Name | Madison E Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841724010 PECOS PAC ID: 1456772987 Enrollment ID: I20200609000335 |
| Provider Name | Saralyn Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972941672 PECOS PAC ID: 2062831845 Enrollment ID: I20200928002400 |
| Provider Name | Nicole Marie Hawkins-doozan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720478688 PECOS PAC ID: 1254741945 Enrollment ID: I20201109002067 |
| Provider Name | Mansi Sharadhumar Mehta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609393735 PECOS PAC ID: 4486911005 Enrollment ID: I20210722002098 |
| Provider Name | Sarah Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942686894 PECOS PAC ID: 6204222052 Enrollment ID: I20220405001137 |
| Provider Name | Dawn Marie Shaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164855128 PECOS PAC ID: 6204217029 Enrollment ID: I20220725002529 |
| Provider Name | Peter Vantil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376997593 PECOS PAC ID: 0042682999 Enrollment ID: I20230202001743 |
| Provider Name | Gage Peavler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922691120 PECOS PAC ID: 5395100838 Enrollment ID: I20230505000309 |
| Provider Name | Amy Kathleen Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346954831 PECOS PAC ID: 9032574413 Enrollment ID: I20230509000534 |
| Provider Name | Jessica Hardy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750899886 PECOS PAC ID: 0446607055 Enrollment ID: I20231103000211 |
| Provider Name | Sharon Ann Peek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306056213 PECOS PAC ID: 8123479904 Enrollment ID: I20240105001034 |
| Provider Name | Kathleen Ryan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811379340 PECOS PAC ID: 1557714953 Enrollment ID: I20240201003188 |
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