| Seeds to Sprouts | |
|
6692 Spring Arbor Rd Jackson MI 49201 | |
| (517) 750-3869 | |
| (517) 750-3673 |
| Full Name | Seeds to Sprouts |
|---|---|
| Speciality | Psychologist |
| Location | 6692 Spring Arbor Rd, Jackson, Michigan |
| Authorized Official Name and Position | Matthew Roderick Smith (CEO) |
| Authorized Official Contact | 5177503869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seeds to Sprouts 6692 Spring Arbor Rd Jackson MI 49201-9322 Ph: (517) 750-3869 | Seeds to Sprouts 6692 Spring Arbor Rd Jackson MI 49201 Ph: (517) 750-3869 |
| NPI Number | 1750579629 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 07/08/2025 |
| Certification Date | 07/08/2025 |
| Medicare PECOS PAC ID | 7911144548 |
|---|---|
| Medicare Enrollment ID | O20130518000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750579629 | NPI | - | NPPES |
| Provider Name | Brent R Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558475012 PECOS PAC ID: 5193759165 Enrollment ID: I20050920001001 |
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