| Conscious Garden Counseling Llc | |
|
1149 Hilton Rd # 200 Ferndale MI 48220-2838 | |
| (313) 228-6404 | |
| (313) 331-6824 |
| Full Name | Conscious Garden Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1149 Hilton Rd # 200, Ferndale, Michigan |
| Authorized Official Name and Position | Jesica A Bassett (SOCIAL WORKER-THERAPIST) |
| Authorized Official Contact | 5172317183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conscious Garden Counseling Llc 1149 Hilton Rd # 200 Ferndale MI 48220-2838 Ph: (313) 228-6404 | Conscious Garden Counseling Llc 1149 Hilton Rd # 200 Ferndale MI 48220-2838 Ph: (313) 228-6404 |
| NPI Number | 1780450031 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/15/2025 |
| Medicare PECOS PAC ID | 4587009733 |
|---|---|
| Medicare Enrollment ID | O20240228001276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780450031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jesica Anne Bassett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639540073 PECOS PAC ID: 8527301035 Enrollment ID: I20190524002415 |
| Provider Name | Crystal Workman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295319598 PECOS PAC ID: 8123437589 Enrollment ID: I20210514001419 |
| Provider Name | Caitlin Demara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255003695 PECOS PAC ID: 8628476546 Enrollment ID: I20211007001168 |
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