| Barroso Consultation And Therapy, Llc | |
|
114 N Main St Ste 11 Chelsea MI 48118-1514 | |
| (734) 531-9490 | |
| Not Available |
| Full Name | Barroso Consultation And Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 114 N Main St Ste 11, Chelsea, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barroso Consultation And Therapy, Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Barroso Consultation And Therapy, Llc 114 N Main St Ste 11 Chelsea MI 48118-1514 Ph: (734) 531-9490 |
| NPI Number | 1568187771 |
|---|---|
| Provider Enumeration Date | 10/10/2022 |
| Last Update Date | 08/07/2024 |
| Certification Date | 08/07/2024 |
| Medicare PECOS PAC ID | 3779953427 |
|---|---|
| Medicare Enrollment ID | O20221221002238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568187771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Leslie Dominique Barroso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821590316 PECOS PAC ID: 4385074640 Enrollment ID: I20200429000316 |
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