| Trublu Therapy, Pllc | |
|
8040 Ortonville Rd Ste C Clarkston MI 48348-4468 | |
| (980) 319-8722 | |
| Not Available |
| Full Name | Trublu Therapy, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 8040 Ortonville Rd Ste C, Clarkston, Michigan |
| Authorized Official Name and Position | Michelle Ugolini (OWNER) |
| Authorized Official Contact | 7143101480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trublu Therapy, Pllc 531 Brentwood Rd Suite 153 Denver NC 28037-0269 Ph: (704) 310-1480 | Trublu Therapy, Pllc 8040 Ortonville Rd Ste C Clarkston MI 48348-4468 Ph: (980) 319-8722 |
| NPI Number | 1841880192 |
|---|---|
| Provider Enumeration Date | 01/21/2021 |
| Last Update Date | 08/05/2021 |
| Certification Date | 08/05/2021 |
| Medicare PECOS PAC ID | 4880003631 |
|---|---|
| Medicare Enrollment ID | O20210506001367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841880192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Michelle Lynn Ugolini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841413358 PECOS PAC ID: 9537358494 Enrollment ID: I20210506001598 |
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