Ms Trisha Christine Bryan, LMSW, CAC-1 | |
8702 Wandering Way, Freeland, MI 48623-9557 | |
(989) 999-8463 | |
(989) 266-1440 |
Full Name | Ms Trisha Christine Bryan |
---|---|
Gender | Female |
Speciality | Social Worker |
Location | 8702 Wandering Way, Freeland, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174679294 | NPI | - | NPPES |
1174679294 | Other | NPI | |
6801085500 | Other | MI | LMSW |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801085500 (Michigan) | Secondary |
104100000X | Social Worker | 6801085500 (Michigan) | Primary |
Entity Name | Your Time Behavioral & Mental Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669179545 PECOS PAC ID: 6002272895 Enrollment ID: O20230522000743 |
Mailing Address | Practice Location Address |
---|---|
Ms Trisha Christine Bryan, LMSW, CAC-1 Po Box 210, Freeland, MI 48623-0210 Ph: (989) 999-8463 | Ms Trisha Christine Bryan, LMSW, CAC-1 8702 Wandering Way, Freeland, MI 48623-9557 Ph: (989) 999-8463 |
Bridget Ann Beckman, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1913 Hotchkiss Rd, Freeland, MI 48623 Phone: 989-573-4782 | |
Heather Lynn Nellett, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 N 3rd St, Freeland, MI 48623 Phone: 989-385-0801 | |
Mrs. Jill Darlene Kukulis, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11201 Thornberry Dr, Freeland, MI 48623 Phone: 989-321-4900 |