| Bridges To Health Therapy Services Inc | |
|
1200 N West Ave Ste 810 Jackson MI 49202-2179 | |
| (517) 300-3985 | |
| Not Available |
| Full Name | Bridges To Health Therapy Services Inc |
|---|---|
| Speciality | Social Worker |
| Location | 1200 N West Ave Ste 810, Jackson, Michigan |
| Authorized Official Name and Position | Mitzi Diesing (OWNER) |
| Authorized Official Contact | 5173003985 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridges To Health Therapy Services Inc 1200 N West Ave Ste 810 Jackson MI 49202-2179 Ph: (517) 300-3985 | Bridges To Health Therapy Services Inc 1200 N West Ave Ste 810 Jackson MI 49202-2179 Ph: (517) 300-3985 |
| NPI Number | 1972271922 |
|---|---|
| Provider Enumeration Date | 09/03/2021 |
| Last Update Date | 09/23/2021 |
| Certification Date | 09/23/2021 |
| Medicare PECOS PAC ID | 5092113654 |
|---|---|
| Medicare Enrollment ID | O20211012001788 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972271922 | NPI | - | NPPES |
| 6801083573 | Other | MI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Mitzi A Diesing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073568374 PECOS PAC ID: 5496725723 Enrollment ID: I20040726001365 |
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