| Creating Brighter Futures, Inc | |
|
4201 Varsity Dr Ann Arbor MI 48108-5005 | |
| (734) 926-0740 | |
| (734) 369-8851 |
| Full Name | Creating Brighter Futures, Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4201 Varsity Dr, Ann Arbor, Michigan |
| Authorized Official Name and Position | Jessica Irish (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7349260740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Brighter Futures, Inc 4201 Varsity Dr Ann Arbor MI 48108-5005 Ph: (734) 926-0740 | Creating Brighter Futures, Inc 4201 Varsity Dr Ann Arbor MI 48108-5005 Ph: (734) 926-0740 |
| NPI Number | 1881939346 |
|---|---|
| Provider Enumeration Date | 12/10/2012 |
| Last Update Date | 12/01/2016 |
| Medicare PECOS PAC ID | 5597017350 |
|---|---|
| Medicare Enrollment ID | O20181008000192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881939346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| Provider Name | Heather Lea Fyall |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659005718 PECOS PAC ID: 1658753793 Enrollment ID: I20220805000651 |
Mary K Anderson Phd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 N 1st St, Ste 1, Ann Arbor, MI 48104 Phone: 734-327-5934 | |
Jennifer Ratliff-moss Lmsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5340 Plymouth Rd, Suite 208, Ann Arbor, MI 48105 Phone: 734-905-6649 Fax: 734-369-3369 | |
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