| Change4greatness Llc | |
|
333 Albert Ave Ste 633 East Lansing MI 48823-4393 | |
| (877) 762-0370 | |
| (575) 728-8572 |
| Full Name | Change4greatness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 333 Albert Ave Ste 633, East Lansing, Michigan |
| Authorized Official Name and Position | Frances Kay Greebon (OWNER) |
| Authorized Official Contact | 8777620370 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Change4greatness Llc 333 Albert Ave Ste 633 East Lansing MI 48823-4393 Ph: (877) 762-0370 | Change4greatness Llc 333 Albert Ave Ste 633 East Lansing MI 48823-4393 Ph: (877) 762-0370 |
| NPI Number | 1184285066 |
|---|---|
| Provider Enumeration Date | 06/22/2019 |
| Last Update Date | 11/10/2022 |
| Certification Date | 11/10/2022 |
| Medicare PECOS PAC ID | 7012246184 |
|---|---|
| Medicare Enrollment ID | O20190916001153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184285066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Frances Greebon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578072567 PECOS PAC ID: 5991034068 Enrollment ID: I20190916001427 |
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