Alicia Bonahoom, MA, LLP is a
Marriage & Family Therapist based in Grosse Pointe Farms, Michigan. Alicia Bonahoom is licensed to practice in Michigan (license number 6301011059) and her current practice location is
202 Lakeview Ave, Grosse Pointe Farms, Michigan. She can be reached at her office (for appointments etc.) via phone at
(313) 909-2363.
NPI number for Alicia Bonahoom is 1245651389 and her current mailing address is 620 N Old Woodward Ave, Suite 201, Birmingham, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245651389.
Healthcare Provider's Profile
Full Name | Alicia Bonahoom |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 202 Lakeview Ave, Grosse Pointe Farms, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245651389
- Provider Enumeration Date: 12/16/2013
- Last Update Date: 12/16/2013
Medical Identifiers
Medical identifiers for Alicia Bonahoom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245651389 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 6301011059 (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. Alicia Bonahoom 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 |
Alicia Bonahoom, MA, LLP 620 N Old Woodward Ave, Suite 201, Birmingham, MI 48009-3855 Ph: (313) 909-2363 | Alicia Bonahoom, MA, LLP 202 Lakeview Ave, Grosse Pointe Farms, MI 48236-2907 Ph: (313) 909-2363 |
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