Carruthers Therapy Llc | |
1675 84th St Se Caledonia MI 49316-7939 | |
(616) 238-0159 | |
Not Available |
Full Name | Carruthers Therapy Llc |
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Speciality | Social Worker |
Location | 1675 84th St Se, Caledonia, Michigan |
Authorized Official Name and Position | Kathy A Carruthers (OWNER, THERAPIST) |
Authorized Official Contact | 6162380159 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carruthers Therapy Llc 1125 Royal Oak St Sw Wyoming MI 49509-3562 Ph: () - | Carruthers Therapy Llc 1675 84th St Se Caledonia MI 49316-7939 Ph: (616) 238-0159 |
NPI Number | 1083210843 |
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Provider Enumeration Date | 12/08/2020 |
Last Update Date | 03/19/2024 |
Certification Date | 03/19/2024 |
Medicare PECOS PAC ID | 2365854635 |
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Medicare Enrollment ID | O20201210000077 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083210843 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Kathy A Carruthers |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720340367 PECOS PAC ID: 9032336862 Enrollment ID: I20140819000218 |
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