| 8th House Therapy | |
|
222 W Genesee St # 106 Lansing MI 48933-1224 | |
| (734) 707-9523 | |
| Not Available |
| Full Name | 8th House Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 222 W Genesee St # 106, Lansing, Michigan |
| Authorized Official Name and Position | Nicole Ariel Lopez (OWNER OF ENTITY) |
| Authorized Official Contact | 7347079523 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 8th House Therapy 222 W Genesee St # 106 Lansing MI 48933-1224 Ph: (734) 707-9523 | 8th House Therapy 222 W Genesee St # 106 Lansing MI 48933-1224 Ph: (734) 707-9523 |
| NPI Number | 1407578438 |
|---|---|
| Provider Enumeration Date | 09/15/2022 |
| Last Update Date | 09/15/2022 |
| Certification Date | 09/15/2022 |
| Medicare PECOS PAC ID | 4587040209 |
|---|---|
| Medicare Enrollment ID | O20221004002418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407578438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Nicole Ariel Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962968875 PECOS PAC ID: 5496131112 Enrollment ID: I20221004002587 |
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