Mrs Letisha Mechell Holloway, LMSW | |
5031 Park Lake Rd, East Lansing, MI 48823-3835 | |
(517) 332-0811 | |
(517) 332-4452 |
Full Name | Mrs Letisha Mechell Holloway |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 15 Years |
Location | 5031 Park Lake Rd, East Lansing, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043592181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801091723 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Meridian Professional Psychological Consultants | 5193880284 | 15 |
Entity Name | Meridian Professional Psychological Consultants |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225150139 PECOS PAC ID: 5193880284 Enrollment ID: O20090225000155 |
Mailing Address | Practice Location Address |
---|---|
Mrs Letisha Mechell Holloway, LMSW 6415 Norburn Way, Lansing, MI 48911-6040 Ph: (517) 332-0811 | Mrs Letisha Mechell Holloway, LMSW 5031 Park Lake Rd, East Lansing, MI 48823-3835 Ph: (517) 332-0811 |
Krystal R Davis-dunn, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 601 Abbot Rd Ste 103e, East Lansing, MI 48823 Phone: 517-574-4797 Fax: 517-484-1771 | |
Mr. Peter Culross Wood, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4572 S. Hagadorn Rd, Ste. 2b, East Lansing, MI 48823 Phone: 517-881-6845 | |
Ms. Gina Marie Snoeyink, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 780 W Lake Lansing Rd Ste 100, East Lansing, MI 48823 Phone: 517-618-9653 Fax: 517-252-2689 | |
Elizabeth Mary Davis-pennington, LMSW-CLINICAL Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 808 W Lake Lansing Rd Ste 200, East Lansing, MI 48823 Phone: 151-770-5320 | |
Katherine Rachael Murton, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 702 W Lake Lansing Rd, East Lansing, MI 48823 Phone: 517-332-5342 Fax: 517-316-2893 | |
Change Kwesele, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 411 W Lake Lansing Rd Ste C120, East Lansing, MI 48823 Phone: 517-215-5217 |