| Time To Thrive Counseling Agency, Llc | |
|
1904 North Blvd Cadillac MI 49601-9100 | |
| (231) 884-0786 | |
| Not Available |
| Full Name | Time To Thrive Counseling Agency, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1904 North Blvd, Cadillac, Michigan |
| Authorized Official Name and Position | Sallie L Thomas (OWNER/OPERATOR) |
| Authorized Official Contact | 8448840786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Time To Thrive Counseling Agency, Llc 1904 North Blvd Cadillac MI 49601-9100 Ph: (231) 884-0786 | Time To Thrive Counseling Agency, Llc 1904 North Blvd Cadillac MI 49601-9100 Ph: (231) 884-0786 |
| NPI Number | 1104387984 |
|---|---|
| Provider Enumeration Date | 03/26/2019 |
| Last Update Date | 03/26/2019 |
| Medicare PECOS PAC ID | 7416386859 |
|---|---|
| Medicare Enrollment ID | O20200406001103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104387984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sallie Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104200369 PECOS PAC ID: 8325477763 Enrollment ID: I20200406001179 |
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