| Elevated Therapeutic Services Llc | |
|
332 W Gower Rd Union City MI 49094-9439 | |
| (517) 648-7217 | |
| Not Available |
| Full Name | Elevated Therapeutic Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 332 W Gower Rd, Union City, Michigan |
| Authorized Official Name and Position | Jenny Bishop (OWNER) |
| Authorized Official Contact | 5176487217 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevated Therapeutic Services Llc 332 W Gower Rd Union City MI 49094-9439 Ph: (517) 648-7217 | Elevated Therapeutic Services Llc 332 W Gower Rd Union City MI 49094-9439 Ph: (517) 648-7217 |
| NPI Number | 1447031877 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Medicare PECOS PAC ID | 6901248145 |
|---|---|
| Medicare Enrollment ID | O20240520003448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447031877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Jenny Bishop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174002471 PECOS PAC ID: 7719329952 Enrollment ID: I20240520003489 |
Mccarthy Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 996 Arbogast Rd, Union City, MI 49094 Phone: 219-242-4862 Fax: 219-529-6297 |