| Center For Healing Connections | |
|
1645 N Dixie Hwy Ste 2 Monroe MI 48162-5231 | |
| (734) 344-7432 | |
| (734) 344-7431 |
| Full Name | Center For Healing Connections |
|---|---|
| Speciality | Social Worker |
| Location | 1645 N Dixie Hwy Ste 2, Monroe, Michigan |
| Authorized Official Name and Position | Donnell Anthony Gemus (OWNER) |
| Authorized Official Contact | 7343447432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Healing Connections 1645 N Dixie Hwy Ste 2 Monroe MI 48162-5231 Ph: (734) 344-7432 | Center For Healing Connections 1645 N Dixie Hwy Ste 2 Monroe MI 48162-5231 Ph: (734) 344-7432 |
| NPI Number | 1952770893 |
|---|---|
| Provider Enumeration Date | 09/22/2015 |
| Last Update Date | 03/01/2024 |
| Certification Date | 03/01/2024 |
| Medicare PECOS PAC ID | 0749599017 |
|---|---|
| Medicare Enrollment ID | O20151028000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952770893 | NPI | - | NPPES |
| 1265805766 | Medicaid | MI | |
| 1154005809 | Medicaid | MI | |
| 1386392983 | Medicaid | MI | |
| 1699301374 | Medicaid | MI | |
| 1871162438 | Medicaid | MI | |
| 1609381755 | Medicaid | MI | |
| 1730810029 | Medicaid | MI | |
| 1821535899 | Medicaid | MI | |
| 1851909923 | Medicaid | MI |
| Provider Name | Mary Beth Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346274743 PECOS PAC ID: 2466681457 Enrollment ID: I20140218000325 |
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