| Comprehensive Therapy Center Inc | |
|
2505 Ardmore St Se Grand Rapids MI 49506-4924 | |
| (616) 559-1054 | |
| (616) 559-1056 |
| Full Name | Comprehensive Therapy Center Inc |
|---|---|
| Speciality | Voluntary or Charitable |
| Location | 2505 Ardmore St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Jean C Silbar (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6165591054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Therapy Center Inc 2505 Ardmore St Se Grand Rapids MI 49506-4924 Ph: (616) 559-1054 | Comprehensive Therapy Center Inc 2505 Ardmore St Se Grand Rapids MI 49506-4924 Ph: (616) 559-1054 |
| NPI Number | 1073658597 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 05/12/2014 |
| Medicare PECOS PAC ID | 1951534296 |
|---|---|
| Medicare Enrollment ID | O20140512001686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073658597 | NPI | - | NPPES |
| 4866078 | Medicaid | MI | |
| QMXPR0018904 | Other | MI | MOLINA |
| Provider Name | Pamela Leigh Carrico |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043553613 PECOS PAC ID: 8628480373 Enrollment ID: I20201222000851 |
| Provider Name | Madalyn Irene Alexander |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508642133 PECOS PAC ID: 4385083914 Enrollment ID: I20240416002137 |
| Provider Name | Faith Marie Williamson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215717913 PECOS PAC ID: 9739621970 Enrollment ID: I20240604000956 |
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