Healing To Thrive Emdr, Pllc | |
12394 Sharp Rd Linden MI 48451-8920 | |
(808) 319-9974 | |
Not Available |
Full Name | Healing To Thrive Emdr, Pllc |
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Speciality | Clinic/Center |
Location | 12394 Sharp Rd, Linden, Michigan |
Authorized Official Name and Position | Megan Rachael Moreno (CLINICAL THERAPIST/OWNER) |
Authorized Official Contact | 2482665313 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healing To Thrive Emdr, Pllc 12394 Sharp Rd Linden MI 48451-8920 Ph: (808) 319-9974 | Healing To Thrive Emdr, Pllc 12394 Sharp Rd Linden MI 48451-8920 Ph: (808) 319-9974 |
NPI Number | 1497503932 |
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Provider Enumeration Date | 05/09/2024 |
Last Update Date | 05/09/2024 |
Certification Date | 05/09/2024 |
Medicare PECOS PAC ID | 1759812811 |
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Medicare Enrollment ID | O20241001001937 |
Identifier | Type | State | Issuer |
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1497503932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Megan Rachael Moreno |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093312597 PECOS PAC ID: 2668903725 Enrollment ID: I20241001002059 |
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