Atlas To Healing Llc | |
3301 Veterans Dr Traverse City MI 49684-4574 | |
(231) 392-4417 | |
Not Available |
Full Name | Atlas To Healing Llc |
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Speciality | Social Worker |
Location | 3301 Veterans Dr, Traverse City, Michigan |
Authorized Official Name and Position | Kara M Holcomb (OWNER) |
Authorized Official Contact | 2313924417 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Atlas To Healing Llc 631 Bass Lake Rd Traverse City MI 49685-8631 Ph: (231) 392-4417 | Atlas To Healing Llc 3301 Veterans Dr Traverse City MI 49684-4574 Ph: (231) 392-4417 |
NPI Number | 1124725932 |
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Provider Enumeration Date | 02/13/2023 |
Last Update Date | 02/13/2023 |
Certification Date | 02/12/2023 |
Medicare PECOS PAC ID | 7315303203 |
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Medicare Enrollment ID | O20230518003224 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124725932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Kara Marie Holcomb |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083160097 PECOS PAC ID: 7113262734 Enrollment ID: I20181228002013 |
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