Another Path, Plc | |
12100 S Benzonia Trl Empire MI 49630 | |
(231) 941-6670 | |
(231) 326-3026 |
Full Name | Another Path, Plc |
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Speciality | Community/Behavioral Health |
Location | 12100 S Benzonia Trl, Empire, Michigan |
Authorized Official Name and Position | David R. Hendricks (PHYSICIAN) |
Authorized Official Contact | 2319426670 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Another Path, Plc 12100 S Benzonia Trl Empire MI 49630-8503 Ph: (231) 941-6670 | Another Path, Plc 12100 S Benzonia Trl Empire MI 49630 Ph: (231) 941-6670 |
NPI Number | 1861679664 |
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Provider Enumeration Date | 01/24/2008 |
Last Update Date | 05/14/2018 |
Medicare PECOS PAC ID | 9931116951 |
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Medicare Enrollment ID | O20060316000360 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861679664 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 4301038246 (Michigan) | Primary |
251S00000X | Community/behavioral Health | 6801035572 (Michigan) | Secondary |
Provider Name | Sharon L Hendricks |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255404539 PECOS PAC ID: 2668489683 Enrollment ID: I20060316000383 |
Provider Name | David R Hendricks |
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Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1013066406 PECOS PAC ID: 4385651306 Enrollment ID: I20060316000421 |
Sleeping Bear Counseling Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11470 S Leelanau Hwy Ste 107, Empire, MI 49630 Phone: 231-492-0815 |