| Theresa Windham Lmsw Llc | |
|
569 Wildwood Ave Unit 1 Jackson MI 49201-1048 | |
| (517) 798-5555 | |
| Not Available |
| Full Name | Theresa Windham Lmsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 569 Wildwood Ave Unit 1, Jackson, Michigan |
| Authorized Official Name and Position | Marybeth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Windham Lmsw Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Theresa Windham Lmsw Llc 569 Wildwood Ave Unit 1 Jackson MI 49201-1048 Ph: (517) 798-5555 |
| NPI Number | 1134769276 |
|---|---|
| Provider Enumeration Date | 01/07/2020 |
| Last Update Date | 04/03/2023 |
| Certification Date | 04/03/2023 |
| Medicare PECOS PAC ID | 0244666360 |
|---|---|
| Medicare Enrollment ID | O20200210001920 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134769276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Theresa Lmsw Windham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841657772 PECOS PAC ID: 8921371055 Enrollment ID: I20170912000445 |
Alexis Ahlbaum Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5633 Poplar Dr, Jackson, MI 49201 Phone: 517-270-1994 | |
Cycle Of Life Support Chs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 E Ganson St, Jackson, MI 49202 Phone: 616-275-8930 Fax: 616-608-3693 | |
Inner Guidance Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 W Michigan Ave, Jackson, MI 49201 Phone: 517-416-8878 Fax: 517-962-5316 | |
Center For Family Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 N Jackson St, Jackson, MI 49201 Phone: 517-748-5500 | |
Lifeways Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N. West Avenue, Jackson, MI 49202 Phone: 517-780-3332 Fax: 517-796-4532 | |
Highfields Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1206 Clinton Rd, Jackson, MI 49202 Phone: 517-783-4250 | |
Lifeways Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1200 N. West Avenue, Jackson, MI 49202 Phone: 517-789-1200 Fax: 517-789-1276 |