| Healthy Minds Of Michigan | |
|
5103 Eastman Ave Ste 117 Midland MI 48640-6723 | |
| (989) 455-8214 | |
| Not Available |
| Full Name | Healthy Minds Of Michigan |
|---|---|
| Speciality | Social Worker |
| Location | 5103 Eastman Ave Ste 117, Midland, Michigan |
| Authorized Official Name and Position | Angela Cilley (SOCIAL WORKER) |
| Authorized Official Contact | 9894558214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Minds Of Michigan 5103 Eastman Ave Ste 117 Midland MI 48640-6723 Ph: (989) 455-8214 | Healthy Minds Of Michigan 5103 Eastman Ave Ste 117 Midland MI 48640-6723 Ph: (989) 455-8214 |
| NPI Number | 1053095604 |
|---|---|
| Provider Enumeration Date | 06/14/2023 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Medicare PECOS PAC ID | 5092175729 |
|---|---|
| Medicare Enrollment ID | O20230713001080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053095604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Angela S Cilley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376973537 PECOS PAC ID: 9537449772 Enrollment ID: I20161206001224 |
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