| H3 - Hope Healing & Health Inc | |
|
23100 Jefferson Ave St. Clair Shores MI 48080-2057 | |
| (586) 335-2006 | |
| (586) 279-3886 |
| Full Name | H3 - Hope Healing & Health Inc |
|---|---|
| Speciality | Social Worker |
| Location | 23100 Jefferson Ave, St. Clair Shores, Michigan |
| Authorized Official Name and Position | Rebecca L. Palen (OWNER/OWNER) |
| Authorized Official Contact | 5863352006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| H3 - Hope Healing & Health Inc 23100 Jefferson Ave St. Clair Shores MI 48080-2057 Ph: (586) 335-2006 | H3 - Hope Healing & Health Inc 23100 Jefferson Ave St. Clair Shores MI 48080-2057 Ph: (586) 335-2006 |
| NPI Number | 1730509993 |
|---|---|
| Provider Enumeration Date | 04/25/2014 |
| Last Update Date | 11/08/2021 |
| Certification Date | 11/08/2021 |
| Medicare PECOS PAC ID | 9436382462 |
|---|---|
| Medicare Enrollment ID | O20140429000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730509993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801086644 (Michigan) | Primary |
| Provider Name | Emily J Escott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518274331 PECOS PAC ID: 7214219179 Enrollment ID: I20170130000520 |
| Provider Name | Anna K Vantoai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477931723 PECOS PAC ID: 2860765997 Enrollment ID: I20170912000364 |
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