| Alphabet Shuffle, Llc | |
|
805 1st St Menominee MI 49858-3231 | |
| (906) 424-4476 | |
| (906) 424-4480 |
| Full Name | Alphabet Shuffle, Llc |
|---|---|
| Speciality | Counselor |
| Location | 805 1st St, Menominee, Michigan |
| Authorized Official Name and Position | Sherry Lynn Benson (OWNER) |
| Authorized Official Contact | 9064244476 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alphabet Shuffle, Llc 805 1st St Menominee MI 49858-3231 Ph: (906) 424-4476 | Alphabet Shuffle, Llc 805 1st St Menominee MI 49858-3231 Ph: (906) 424-4476 |
| NPI Number | 1386188423 |
|---|---|
| Provider Enumeration Date | 12/08/2016 |
| Last Update Date | 12/08/2016 |
| Medicare PECOS PAC ID | 8628350519 |
|---|---|
| Medicare Enrollment ID | O20170130002065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386188423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6801098834 (Michigan) | Primary |
| Provider Name | Sherry Lynn Benson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184020349 PECOS PAC ID: 9537441423 Enrollment ID: I20170213001841 |
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