Healthy Psyche Therapy Llc | |
2803 Weiss St Saginaw MI 48602-3560 | |
(989) 220-1204 | |
Not Available |
Full Name | Healthy Psyche Therapy Llc |
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Speciality | Social Worker |
Location | 2803 Weiss St, Saginaw, Michigan |
Authorized Official Name and Position | Marybeth 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 |
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Healthy Psyche Therapy Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Healthy Psyche Therapy Llc 2803 Weiss St Saginaw MI 48602-3560 Ph: (989) 220-1204 |
NPI Number | 1689345829 |
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Provider Enumeration Date | 09/27/2021 |
Last Update Date | 09/28/2021 |
Certification Date | 09/28/2021 |
Medicare PECOS PAC ID | 0446658983 |
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Medicare Enrollment ID | O20211013001862 |
Identifier | Type | State | Issuer |
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1689345829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Nicole Marie Hawkins-doozan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720478688 PECOS PAC ID: 1254741945 Enrollment ID: I20201109002067 |
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