Enlighten Social Services, Pllc | |
3145 Chestnut St Dearborn MI 48124-4313 | |
(313) 236-2740 | |
Not Available |
Full Name | Enlighten Social Services, Pllc |
---|---|
Speciality | Social Worker - Clinical |
Location | 3145 Chestnut St, Dearborn, Michigan |
Authorized Official Name and Position | Bernadette Richardson (THERAPIST) |
Authorized Official Contact | 3132362740 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Enlighten Social Services, Pllc 3145 Chestnut St Dearborn MI 48124-4313 Ph: (313) 236-2740 | Enlighten Social Services, Pllc 3145 Chestnut St Dearborn MI 48124-4313 Ph: (313) 236-2740 |
NPI Number | 1760056154 |
---|---|
Provider Enumeration Date | 05/19/2021 |
Last Update Date | 05/19/2021 |
Certification Date | 05/19/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760056154 | NPI | - | NPPES |
1982955530 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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