Belonging | |
720 Kensington Ave Flint MI 48503-5331 | |
(810) 209-8582 | |
Not Available |
Full Name | Belonging |
---|---|
Speciality | Community/Behavioral Health |
Location | 720 Kensington Ave, Flint, Michigan |
Authorized Official Name and Position | Nancy Neofotistos (OWNER) |
Authorized Official Contact | 8102098582 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Belonging 12745 S Saginaw Rd Ste 806 #120 Grand Blanc MI 48439 Ph: () - | Belonging 720 Kensington Ave Flint MI 48503-5331 Ph: (810) 209-8582 |
NPI Number | 1154099703 |
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Provider Enumeration Date | 08/31/2021 |
Last Update Date | 09/07/2021 |
Certification Date | 09/07/2021 |
Medicare PECOS PAC ID | 2264893742 |
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Medicare Enrollment ID | O20230731003336 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154099703 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Sia Neofotistos Rutherford |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528348844 PECOS PAC ID: 9537444294 Enrollment ID: I20170320000750 |
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