| Recycle Smiles Llc | |
|
46542 Pentwater Dr Macomb MI 48044 | |
| (586) 343-3458 | |
| Not Available |
| Full Name | Recycle Smiles Llc |
|---|---|
| Speciality | Counselor |
| Location | 46542 Pentwater Dr, Macomb, Michigan |
| Authorized Official Name and Position | Tracy Dunton (OWNER) |
| Authorized Official Contact | 5863433458 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Recycle Smiles Llc 46542 Pentwater Dr Macomb MI 48044 Ph: (586) 343-3458 | Recycle Smiles Llc 46542 Pentwater Dr Macomb MI 48044 Ph: (586) 343-3458 |
| NPI Number | 1578332581 |
|---|---|
| Provider Enumeration Date | 01/02/2024 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/18/2024 |
| Medicare PECOS PAC ID | 4082142351 |
|---|---|
| Medicare Enrollment ID | O20250114003197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578332581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Tracy Dunton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447387550 PECOS PAC ID: 6608213335 Enrollment ID: I20240318001773 |
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