Allen Richard Petty I, LMSW,CAC is a
Counselor - Mental Health based in Dimondale, Michigan. Allen Richard Petty I is licensed to practice in Michigan (license number 6801070044) and his current practice location is
181 Arlington Dr, Dimondale, Michigan. He can be reached at his office (for appointments etc.) via phone at
(517) 525-6544.
NPI number for Allen Richard Petty I is 1477964690 and his current mailing address is 181 Arlington Dr, Dimondale, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477964690.
Healthcare Provider's Profile
Full Name | Allen Richard Petty I |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 181 Arlington Dr, Dimondale, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477964690
- Provider Enumeration Date: 05/09/2014
- Last Update Date: 05/09/2014
Medical Identifiers
Medical identifiers for Allen Richard Petty I such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477964690 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 6801070044 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Allen Richard Petty I is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Allen Richard Petty I, LMSW,CAC 181 Arlington Dr, Dimondale, MI 48821-9780 Ph: (517) 525-6544 | Allen Richard Petty I, LMSW,CAC 181 Arlington Dr, Dimondale, MI 48821-9780 Ph: (517) 525-6544 |
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