| None | |
|
2387 S Linden Rd Ste 126 Flint MI 48532-5488 | |
| (248) 220-3139 | |
| Not Available |
| Full Name | None |
|---|---|
| Speciality | Counselor |
| Location | 2387 S Linden Rd Ste 126, Flint, Michigan |
| Authorized Official Name and Position | Mwanawa Jones (OWNER/FOUNDER) |
| Authorized Official Contact | 2482203139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| None 2387 S Linden Rd Ste 126 Flint MI 48532-5488 Ph: (248) 220-3139 | None 2387 S Linden Rd Ste 126 Flint MI 48532-5488 Ph: (248) 220-3139 |
| NPI Number | 1326827213 |
|---|---|
| Provider Enumeration Date | 09/28/2023 |
| Last Update Date | 07/27/2024 |
| Certification Date | 07/27/2024 |
| Medicare PECOS PAC ID | 9638516560 |
|---|---|
| Medicare Enrollment ID | O20240327000644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326827213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Mwanawa Bekinda Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821306275 PECOS PAC ID: 0244676799 Enrollment ID: I20240307000836 |
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