| Center For Mental Wellness | |
|
3018 Oakland Dr Ste D Kalamazoo MI 49008-3998 | |
| (269) 598-8810 | |
| Not Available |
| Full Name | Center For Mental Wellness |
|---|---|
| Speciality | Social Worker |
| Location | 3018 Oakland Dr Ste D, Kalamazoo, Michigan |
| Authorized Official Name and Position | Faith Costea (CO-OWNER) |
| Authorized Official Contact | 2695988810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Mental Wellness 3018 Oakland Dr Ste D Kalamazoo MI 49008-3998 Ph: (269) 598-8810 | Center For Mental Wellness 3018 Oakland Dr Ste D Kalamazoo MI 49008-3998 Ph: (269) 598-8810 |
| NPI Number | 1417692914 |
|---|---|
| Provider Enumeration Date | 04/29/2022 |
| Last Update Date | 07/11/2022 |
| Certification Date | 07/11/2022 |
| Medicare PECOS PAC ID | 8224410899 |
|---|---|
| Medicare Enrollment ID | O20220728001671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417692914 | NPI | - | NPPES |
| 112427979765 | Other | MI | AMY WILSON, LMSW, CAAC |
| 1558508929 | Other | MI | FAITH COSTEA LMSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amy N Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124279765 PECOS PAC ID: 5799908042 Enrollment ID: I20140514001384 |
| Provider Name | Faith L Costea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558508929 PECOS PAC ID: 9133554082 Enrollment ID: I20200122003156 |
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