Grey Street Counseling And Wellness | |
7250 Dixie Hwy Ste 400 Clarkston MI 48346-5108 | |
(248) 861-2909 | |
Not Available |
Full Name | Grey Street Counseling And Wellness |
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Speciality | Counselor |
Location | 7250 Dixie Hwy Ste 400, Clarkston, Michigan |
Authorized Official Name and Position | Jennifer Lynn Thrift (SOLE OFFICER) |
Authorized Official Contact | 2483305743 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grey Street Counseling And Wellness 7111 Dixie Hwy Ste 203 Clarkston MI 48346-2077 Ph: () - | Grey Street Counseling And Wellness 7250 Dixie Hwy Ste 400 Clarkston MI 48346-5108 Ph: (248) 861-2909 |
NPI Number | 1316548100 |
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Provider Enumeration Date | 11/06/2020 |
Last Update Date | 07/14/2022 |
Certification Date | 07/14/2022 |
Medicare PECOS PAC ID | 8022417880 |
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Medicare Enrollment ID | O20210527000574 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316548100 | NPI | - | NPPES |
Provider Name | Kaitlin Margaret Sperry |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073004644 PECOS PAC ID: 0042610602 Enrollment ID: I20210618000679 |
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