| Chosen & Anointed Wellness Center | |
|
2708 Senate Dr Apt B101 Lansing MI 48912-4482 | |
| (517) 927-3452 | |
| Not Available |
| Full Name | Chosen & Anointed Wellness Center |
|---|---|
| Speciality | Counselor |
| Location | 2708 Senate Dr Apt B101, Lansing, Michigan |
| Authorized Official Name and Position | Cathy Gallegos (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5174832461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chosen & Anointed Wellness Center 2708 Senate Dr Apt B101 Lansing MI 48912-4482 Ph: (517) 927-3452 | Chosen & Anointed Wellness Center 2708 Senate Dr Apt B101 Lansing MI 48912-4482 Ph: (517) 927-3452 |
| NPI Number | 1023862034 |
|---|---|
| Provider Enumeration Date | 04/16/2024 |
| Last Update Date | 10/31/2024 |
| Certification Date | 10/31/2024 |
| Medicare PECOS PAC ID | 9830620012 |
|---|---|
| Medicare Enrollment ID | O20240927002826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023862034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Kumbirai Kambasha |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710644752 PECOS PAC ID: 7618329582 Enrollment ID: I20240116002729 |
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