| Frei Therapy Llc | |
|
2535 E Mount Hope Ave Lansing MI 48910-1913 | |
| (517) 999-9003 | |
| Not Available |
| Full Name | Frei Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2535 E Mount Hope Ave, Lansing, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frei Therapy Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Frei Therapy Llc 2535 E Mount Hope Ave Lansing MI 48910-1913 Ph: (517) 999-9003 |
| NPI Number | 1912477878 |
|---|---|
| Provider Enumeration Date | 12/04/2018 |
| Last Update Date | 12/04/2018 |
| Medicare PECOS PAC ID | 3274878277 |
|---|---|
| Medicare Enrollment ID | O20181219002606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912477878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tamra Frei |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457800989 PECOS PAC ID: 0446596522 Enrollment ID: I20190110000880 |
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