| Cycle Breakers Collective Llc | |
|
238 Nickels Arc Ann Arbor MI 48104-2410 | |
| (734) 210-0971 | |
| Not Available |
| Full Name | Cycle Breakers Collective Llc |
|---|---|
| Speciality | Social Worker |
| Location | 238 Nickels Arc, Ann Arbor, Michigan |
| Authorized Official Name and Position | Alexandra Kritzmacher (OWNER) |
| Authorized Official Contact | 7342101929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cycle Breakers Collective Llc 238 Nickels Arc Ann Arbor MI 48104-2410 Ph: () - | Cycle Breakers Collective Llc 238 Nickels Arc Ann Arbor MI 48104-2410 Ph: (734) 210-0971 |
| NPI Number | 1497510655 |
|---|---|
| Provider Enumeration Date | 02/16/2024 |
| Last Update Date | 02/19/2024 |
| Certification Date | 02/19/2024 |
| Medicare PECOS PAC ID | 8022455450 |
|---|---|
| Medicare Enrollment ID | O20240321001215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497510655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Alexandra Kritzmacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063123032 PECOS PAC ID: 7214373349 Enrollment ID: I20240312002500 |
| Provider Name | Abigail Mcneill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083326979 PECOS PAC ID: 2961848833 Enrollment ID: I20240313004210 |
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