| Crossing Paths, P.c. | |
|
50258 Van Dyke Ave Ste A Shelby Township MI 48317-1374 | |
| (586) 884-4714 | |
| (586) 886-4693 |
| Full Name | Crossing Paths, P.c. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 50258 Van Dyke Ave Ste A, Shelby Township, Michigan |
| Authorized Official Name and Position | Rebecca J. Field (VICE-PRESIDENT) |
| Authorized Official Contact | 5868844714 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossing Paths, P.c. 50258 Van Dyke Ave Suite A Shelby Township MI 48317-1374 Ph: (586) 884-4714 | Crossing Paths, P.c. 50258 Van Dyke Ave Ste A Shelby Township MI 48317-1374 Ph: (586) 884-4714 |
| NPI Number | 1225583248 |
|---|---|
| Provider Enumeration Date | 08/19/2016 |
| Last Update Date | 08/01/2019 |
| Medicare PECOS PAC ID | 0345517579 |
|---|---|
| Medicare Enrollment ID | O20170518001936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225583248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kelly M Danielson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508192865 PECOS PAC ID: 2668795667 Enrollment ID: I20141224000319 |
| Provider Name | Markita Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730556291 PECOS PAC ID: 7012285463 Enrollment ID: I20170608000295 |
| Provider Name | Sarah Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760851513 PECOS PAC ID: 9739444985 Enrollment ID: I20180517002354 |
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