| Visions Interpersonal Services, Llc | |
|
38378 Darbyshire Farmington Hills MI 48331-2876 | |
| (248) 893-7345 | |
| Not Available |
| Full Name | Visions Interpersonal Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 38378 Darbyshire, Farmington Hills, Michigan |
| Authorized Official Name and Position | Constance Gwynn (OWNER) |
| Authorized Official Contact | 2488937345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visions Interpersonal Services, Llc 38378 Darbyshire Farmington Hills MI 48331-2876 Ph: (248) 893-7345 | Visions Interpersonal Services, Llc 38378 Darbyshire Farmington Hills MI 48331-2876 Ph: (248) 893-7345 |
| NPI Number | 1063998474 |
|---|---|
| Provider Enumeration Date | 07/18/2018 |
| Last Update Date | 07/18/2018 |
| Medicare PECOS PAC ID | 8527311059 |
|---|---|
| Medicare Enrollment ID | O20181030000925 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063998474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801087813 (Michigan) | Primary |
| Provider Name | Constance C Gwynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144488024 PECOS PAC ID: 5496821639 Enrollment ID: I20080911000543 |
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