| Healing Families & Communities Llc | |
|
22015 Park St Dearborn MI 48124-2887 | |
| (313) 730-1102 | |
| Not Available |
| Full Name | Healing Families & Communities Llc |
|---|---|
| Speciality | Social Worker |
| Location | 22015 Park St, Dearborn, 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 |
|---|---|
| Healing Families & Communities Llc 134 W Maple St Mason MI 48854-1657 Ph: () - | Healing Families & Communities Llc 22015 Park St Dearborn MI 48124-2887 Ph: (313) 730-1102 |
| NPI Number | 1922737303 |
|---|---|
| Provider Enumeration Date | 06/09/2022 |
| Last Update Date | 06/09/2022 |
| Certification Date | 06/09/2022 |
| Medicare PECOS PAC ID | 8729467592 |
|---|---|
| Medicare Enrollment ID | O20220624001230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922737303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Leslie Ann Adadow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962019851 PECOS PAC ID: 9638558406 Enrollment ID: I20220624001306 |
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