| Wandering Minds Therapy Collective | |
|
339 E Townline Lake Rd Harrison MI 48625-9278 | |
| (989) 272-3055 | |
| Not Available |
| Full Name | Wandering Minds Therapy Collective |
|---|---|
| Speciality | Social Worker |
| Location | 339 E Townline Lake Rd, Harrison, Michigan |
| Authorized Official Name and Position | Melissa E Reilley (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9892723055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wandering Minds Therapy Collective 1760 Abbey Rd Ste 200 East Lansing MI 48823-7302 Ph: (989) 272-3055 | Wandering Minds Therapy Collective 339 E Townline Lake Rd Harrison MI 48625-9278 Ph: (989) 272-3055 |
| NPI Number | 1689484990 |
|---|---|
| Provider Enumeration Date | 01/09/2025 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/09/2025 |
| Medicare PECOS PAC ID | 7810412038 |
|---|---|
| Medicare Enrollment ID | O20250421002507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689484990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melissa Reilley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124628771 PECOS PAC ID: 7517482631 Enrollment ID: I20250421002675 |
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