| Therapy Center Of Southwest Michigan | |
|
107 Pleasant St Sturgis MI 49091-1760 | |
| (269) 221-2488 | |
| Not Available |
| Full Name | Therapy Center Of Southwest Michigan |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 107 Pleasant St, Sturgis, Michigan |
| Authorized Official Name and Position | Christie Ballard-frazine (OWNER) |
| Authorized Official Contact | 2692212488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Center Of Southwest Michigan 107 Pleasant St Sturgis MI 49091-1760 Ph: (269) 221-2488 | Therapy Center Of Southwest Michigan 107 Pleasant St Sturgis MI 49091-1760 Ph: (269) 221-2488 |
| NPI Number | 1295327567 |
|---|---|
| Provider Enumeration Date | 02/08/2021 |
| Last Update Date | 04/18/2022 |
| Certification Date | 04/18/2022 |
| Medicare PECOS PAC ID | 2961912621 |
|---|---|
| Medicare Enrollment ID | O20250611001656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295327567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Sara Marie Smith |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417660424 PECOS PAC ID: 4688184369 Enrollment ID: I20250611001928 |
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