Haven Mental Health Llc | |
301 W Michigan Ave Ste 407 Ypsilanti MI 48197-5450 | |
(269) 689-2540 | |
Not Available |
Full Name | Haven Mental Health Llc |
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Speciality | Clinic/Center |
Location | 301 W Michigan Ave Ste 407, Ypsilanti, Michigan |
Authorized Official Name and Position | Alexis Kay Miller (OWNER/CLINICIAN) |
Authorized Official Contact | 2693199417 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Haven Mental Health Llc 7991 Cain Rd Jackson MI 49201-9630 Ph: (269) 319-9417 | Haven Mental Health Llc 301 W Michigan Ave Ste 407 Ypsilanti MI 48197-5450 Ph: (269) 689-2540 |
NPI Number | 1689383309 |
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Provider Enumeration Date | 11/21/2022 |
Last Update Date | 11/21/2022 |
Certification Date | 11/21/2022 |
Medicare PECOS PAC ID | 1355711680 |
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Medicare Enrollment ID | O20230103002080 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689383309 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Alexis K Miller |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639709264 PECOS PAC ID: 2466835467 Enrollment ID: I20220823003049 |
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