| Healing Pathways Center For Psychotherapy & Mindfulness, Pllc | |
|
8123 Grand River Rd Ste D Brighton MI 48114-9464 | |
| (734) 646-2248 | |
| Not Available |
| Full Name | Healing Pathways Center For Psychotherapy & Mindfulness, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 8123 Grand River Rd Ste D, Brighton, Michigan |
| Authorized Official Name and Position | Jennifer Diane Marshall (OWNER/CLINICAN) |
| Authorized Official Contact | 8102061077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Pathways Center For Psychotherapy & Mindfulness, Pllc 8123 Grand River Rd Ste 4 Brighton MI 48114-9464 Ph: (810) 206-1077 | Healing Pathways Center For Psychotherapy & Mindfulness, Pllc 8123 Grand River Rd Ste D Brighton MI 48114-9464 Ph: (734) 646-2248 |
| NPI Number | 1316500713 |
|---|---|
| Provider Enumeration Date | 04/21/2019 |
| Last Update Date | 01/07/2021 |
| Certification Date | 01/07/2021 |
| Medicare PECOS PAC ID | 3173935848 |
|---|---|
| Medicare Enrollment ID | O20210129000192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316500713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Robert Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780797001 PECOS PAC ID: 3870599525 Enrollment ID: I20061020000052 |
| Provider Name | Jennifer D Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083801872 PECOS PAC ID: 9931512977 Enrollment ID: I20210129000264 |
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