| Dynamic Wellness Collaborative | |
|
2633 S Lapeer Rd Ste G Orion MI 48360-2810 | |
| (248) 270-5660 | |
| Not Available |
| Full Name | Dynamic Wellness Collaborative |
|---|---|
| Speciality | Social Worker |
| Location | 2633 S Lapeer Rd Ste G, Orion, Michigan |
| Authorized Official Name and Position | Karyn Skiba (OWNER) |
| Authorized Official Contact | 2485348201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Wellness Collaborative 2633 S Lapeer Rd Ste G Orion MI 48360-2810 Ph: (248) 270-5660 | Dynamic Wellness Collaborative 2633 S Lapeer Rd Ste G Orion MI 48360-2810 Ph: (248) 270-5660 |
| NPI Number | 1942883236 |
|---|---|
| Provider Enumeration Date | 05/04/2021 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/21/2024 |
| Medicare PECOS PAC ID | 7214316207 |
|---|---|
| Medicare Enrollment ID | O20220622001097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942883236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tamara Antishin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720321458 PECOS PAC ID: 1951605187 Enrollment ID: I20160209002357 |
| Provider Name | Karyn L Skiba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841672987 PECOS PAC ID: 5698040293 Enrollment ID: I20171009000337 |
| Provider Name | Melissa Osullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831685809 PECOS PAC ID: 8022497015 Enrollment ID: I20220622001129 |
| Provider Name | Megan Minadeo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255062717 PECOS PAC ID: 5991178766 Enrollment ID: I20230224001685 |