| Vicky Alvarez Therapy, Llc | |
|
1063 S State Rd Ste 8a Davison MI 48423-1900 | |
| (810) 771-3457 | |
| Not Available |
| Full Name | Vicky Alvarez Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1063 S State Rd Ste 8a, Davison, Michigan |
| Authorized Official Name and Position | Vicky Lynn Alvarez (CLINICAL THERAPIST) |
| Authorized Official Contact | 8107713457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vicky Alvarez Therapy, Llc Po Box 566 Davison MI 48423-0566 Ph: (810) 771-3457 | Vicky Alvarez Therapy, Llc 1063 S State Rd Ste 8a Davison MI 48423-1900 Ph: (810) 771-3457 |
| NPI Number | 1841077252 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Medicare PECOS PAC ID | 3678927597 |
|---|---|
| Medicare Enrollment ID | O20230927000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841077252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Vicky L Alvarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013029362 PECOS PAC ID: 3678650256 Enrollment ID: I20080407000438 |
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