Downtown Wellness Pllc | |
104 E Maple St Holly MI 48442-2101 | |
(810) 373-9062 | |
Not Available |
Full Name | Downtown Wellness Pllc |
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Speciality | Clinic/Center |
Location | 104 E Maple St, Holly, Michigan |
Authorized Official Name and Position | Ashley Thomas (COUNSELOR/ OWNER) |
Authorized Official Contact | 2488940824 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Downtown Wellness Pllc 412 S Broad St Holly MI 48442-1626 Ph: (248) 894-0824 | Downtown Wellness Pllc 104 E Maple St Holly MI 48442-2101 Ph: (810) 373-9062 |
NPI Number | 1063193233 |
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Provider Enumeration Date | 07/31/2023 |
Last Update Date | 07/31/2023 |
Certification Date | 07/08/2023 |
Medicare PECOS PAC ID | 3173967999 |
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Medicare Enrollment ID | O20240221000302 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063193233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Ashley Anne Thomas |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1831761394 PECOS PAC ID: 6800230624 Enrollment ID: I20240221000342 |
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