Growing Through It Therapy, Pc | |
6295 N Elms Rd Flushing MI 48433-9002 | |
(810) 955-2093 | |
(810) 309-8833 |
Full Name | Growing Through It Therapy, Pc |
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Speciality | Social Worker |
Location | 6295 N Elms Rd, Flushing, Michigan |
Authorized Official Name and Position | Samantha Marie Mccullough (PRESIDENT) |
Authorized Official Contact | 8109552093 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Growing Through It Therapy, Pc 2169 W Vienna Rd Ste 162 Clio MI 48420-1757 Ph: (810) 243-2660 | Growing Through It Therapy, Pc 6295 N Elms Rd Flushing MI 48433-9002 Ph: (810) 955-2093 |
NPI Number | 1144942020 |
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Provider Enumeration Date | 09/16/2022 |
Last Update Date | 09/16/2022 |
Certification Date | 09/16/2022 |
Medicare PECOS PAC ID | 0749636561 |
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Medicare Enrollment ID | O20231030002649 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144942020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Samantha Mccullough |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952855157 PECOS PAC ID: 2567818388 Enrollment ID: I20231030002731 |
Provider Name | Jessica Marie Hammon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114496817 PECOS PAC ID: 3375991920 Enrollment ID: I20231121001580 |
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