| Your Time Behavioral & Mental Health Llc | |
|
8702 Wandering Way Freeland MI 48623-9557 | |
| (989) 999-8463 | |
| Not Available |
| Full Name | Your Time Behavioral & Mental Health Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8702 Wandering Way, Freeland, Michigan |
| Authorized Official Name and Position | Carrie Y Dudley (MANAGING MEMBER) |
| Authorized Official Contact | 9899998463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Time Behavioral & Mental Health Llc Po Box 210 Freeland MI 48623-0210 Ph: (989) 999-8463 | Your Time Behavioral & Mental Health Llc 8702 Wandering Way Freeland MI 48623-9557 Ph: (989) 999-8463 |
| NPI Number | 1669179545 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 03/10/2024 |
| Certification Date | 03/10/2024 |
| Medicare PECOS PAC ID | 6002272895 |
|---|---|
| Medicare Enrollment ID | O20230522000743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669179545 | NPI | - | NPPES |
| Provider Name | Trisha C Bryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174679294 PECOS PAC ID: 0941393615 Enrollment ID: I20070911000738 |
| Provider Name | Tim D Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154670735 PECOS PAC ID: 9234587023 Enrollment ID: I20231205001686 |
| Provider Name | Carrie Y Dudley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477228302 PECOS PAC ID: 4587054242 Enrollment ID: I20231212001976 |
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