Empowering Pathways Llc | |
2450 44th St Se Ste 302 Kentwood MI 49512-9081 | |
(616) 259-5025 | |
Not Available |
Full Name | Empowering Pathways Llc |
---|---|
Speciality | Social Worker |
Location | 2450 44th St Se Ste 302, Kentwood, Michigan |
Authorized Official Name and Position | Sarah Micklatcher (OWNER) |
Authorized Official Contact | 6162595025 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Empowering Pathways Llc 715 E Charles St Hastings MI 49058-1373 Ph: (616) 259-5025 | Empowering Pathways Llc 2450 44th St Se Ste 302 Kentwood MI 49512-9081 Ph: (616) 259-5025 |
NPI Number | 1356170179 |
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Provider Enumeration Date | 07/30/2024 |
Last Update Date | 07/30/2024 |
Certification Date | 07/30/2024 |
Medicare PECOS PAC ID | 0749728764 |
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Medicare Enrollment ID | O20240821001558 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356170179 | NPI | - | NPPES |
1487211652 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Sarah A Micklatcher |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487211652 PECOS PAC ID: 7214321926 Enrollment ID: I20220223000934 |
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