| Complete Life Services Lc | |
|
G3500 Flushing Rd Ste 244 Flint MI 48504-4257 | |
| (813) 943-5323 | |
| Not Available |
| Full Name | Complete Life Services Lc |
|---|---|
| Speciality | Social Worker |
| Location | G3500 Flushing Rd Ste 244, Flint, Michigan |
| Authorized Official Name and Position | Seon F Thompson (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8139435323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Life Services Lc 511 Hickory Hall Ln Goose Creek SC 29445-6348 Ph: (813) 943-5323 | Complete Life Services Lc G3500 Flushing Rd Ste 244 Flint MI 48504-4257 Ph: (813) 943-5323 |
| NPI Number | 1306546940 |
|---|---|
| Provider Enumeration Date | 03/02/2023 |
| Last Update Date | 03/07/2023 |
| Certification Date | 03/07/2023 |
| Medicare PECOS PAC ID | 4385009067 |
|---|---|
| Medicare Enrollment ID | O20230502002398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306546940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Seon F Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164969846 PECOS PAC ID: 6800123282 Enrollment ID: I20230629000612 |
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