| Big Sky Wellness Llc | |
|
2706 Louanna St Midland MI 48640-4422 | |
| (989) 878-0255 | |
| Not Available |
| Full Name | Big Sky Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2706 Louanna St, Midland, Michigan |
| Authorized Official Name and Position | Martina Rose Pontious Ricards Marks (OWNER) |
| Authorized Official Contact | 9898780255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Sky Wellness Llc 15 Beech St Sanford MI 48657-9517 Ph: (989) 878-0255 | Big Sky Wellness Llc 2706 Louanna St Midland MI 48640-4422 Ph: (989) 878-0255 |
| NPI Number | 1780457093 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780457093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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