Holly Gist-richer Lmsw Pllc | |
137 Maple St Grass Lake MI 49240-9718 | |
(248) 931-4986 | |
Not Available |
Full Name | Holly Gist-richer Lmsw Pllc |
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Speciality | Social Worker |
Location | 137 Maple St, Grass Lake, Michigan |
Authorized Official Name and Position | Holly Gist-richer (OWNER) |
Authorized Official Contact | 2489314986 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Holly Gist-richer Lmsw Pllc 137 Maple St Grass Lake MI 49240-9718 Ph: (248) 931-4986 | Holly Gist-richer Lmsw Pllc 137 Maple St Grass Lake MI 49240-9718 Ph: (248) 931-4986 |
NPI Number | 1427732676 |
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Provider Enumeration Date | 06/09/2023 |
Last Update Date | 06/09/2023 |
Certification Date | 06/09/2023 |
Medicare PECOS PAC ID | 1355783861 |
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Medicare Enrollment ID | O20240530000382 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427732676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Holly E Gist-richer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275906091 PECOS PAC ID: 6507168887 Enrollment ID: I20171221002423 |
Positive Mindset Therapy, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12901 E Michigan Ave, Grass Lake, MI 49240 Phone: 517-240-1367 |