Footprints Counseling And Consulting | |
4005 E 11 Mile Rd Ste 175 Warren MI 48092-3000 | |
(947) 517-7033 | |
(517) 323-9531 |
Full Name | Footprints Counseling And Consulting |
---|---|
Speciality | Social Worker |
Location | 4005 E 11 Mile Rd Ste 175, Warren, Michigan |
Authorized Official Name and Position | Cathy Gallegos (CREDENTIALING MANAGER) |
Authorized Official Contact | 5174832461 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Footprints Counseling And Consulting 4005 E 11 Mile Rd Ste 175 Warren MI 48092-3000 Ph: (947) 517-7033 | Footprints Counseling And Consulting 4005 E 11 Mile Rd Ste 175 Warren MI 48092-3000 Ph: (947) 517-7033 |
NPI Number | 1841928371 |
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Provider Enumeration Date | 08/11/2022 |
Last Update Date | 10/17/2022 |
Certification Date | 10/17/2022 |
Medicare PECOS PAC ID | 7113393588 |
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Medicare Enrollment ID | O20221026002686 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841928371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Toccara E Bailey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568813871 PECOS PAC ID: 5496162372 Enrollment ID: I20210319000890 |
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