Dontia Wilson, | |
26184 Outer Dr, Lincoln Park, MI 48146-2084 | |
(313) 389-7510 | |
Not Available |
Full Name | Dontia Wilson |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 26184 Outer Dr, Lincoln Park, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093478596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Michigan) | Primary |
Entity Name | Hegira Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184684979 PECOS PAC ID: 3173429560 Enrollment ID: O20031208000753 |
Mailing Address | Practice Location Address |
---|---|
Dontia Wilson, Po Box 92, Taylor, MI 48180-0092 Ph: (419) 508-9566 | Dontia Wilson, 26184 Outer Dr, Lincoln Park, MI 48146-2084 Ph: (313) 389-7510 |
Carol Mchenry, Counselor Medicare: Accepting Medicare Assignments Practice Location: 26184 Outer Dr, Lincoln Park, MI 48146 Phone: 313-389-7525 | |
Mr. James Kevin Price, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4085 Hazel Ave, Lincoln Park, MI 48146 Phone: 734-258-0064 | |
Lauren Boddie, LPC Counselor Medicare: Medicare Enrolled Practice Location: 26300 Outer Dr, Lincoln Park, MI 48146 Phone: 734-785-7700 | |
Gabrielle S Jackson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 26300 Outer Dr, Lincoln Park, MI 48146 Phone: 734-643-0071 | |
Mrs. Misty Lynn Peete, LLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 26300 Outer Dr, Lincoln Park, MI 48146 Phone: 734-968-0307 | |
Katie Lynn Kiner, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 26300 Outer Dr, Lincoln Park, MI 48146 Phone: 313-388-4630 |