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9790 Gratiot Rd Ste 5 Saginaw MI 48609-9473 | |
(989) 249-3671 | |
Not Available |
Full Name | |
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Speciality | Social Worker |
Location | 9790 Gratiot Rd Ste 5, Saginaw, Michigan |
Authorized Official Name and Position | Angela Girard (OWNER) |
Authorized Official Contact | 9892450654 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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9790 Gratiot Rd Ste 5 Saginaw MI 48609-9473 Ph: (989) 249-3671 | 9790 Gratiot Rd Ste 5 Saginaw MI 48609-9473 Ph: (989) 249-3671 |
NPI Number | 1336924281 |
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Provider Enumeration Date | 08/29/2023 |
Last Update Date | 01/31/2024 |
Certification Date | 01/31/2024 |
Medicare PECOS PAC ID | 8123569530 |
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Medicare Enrollment ID | O20240925000205 |
Identifier | Type | State | Issuer |
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1336924281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Angela Girard |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659086577 PECOS PAC ID: 6608241922 Enrollment ID: I20230418002159 |
Provider Name | Jeri Lynn Crouterfield |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497107445 PECOS PAC ID: 8527410018 Enrollment ID: I20240119003824 |
Provider Name | Ricky N. Mccoy |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1578113536 PECOS PAC ID: 5991153231 Enrollment ID: I20241031001569 |
Dahlia Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3854 Dale Rd, Saginaw, MI 48603 Phone: 989-891-7854 | |
Saginaw Psychological Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Hemmeter Rd, Saginaw, MI 48603 Phone: 989-799-2100 Fax: 989-799-2637 | |
Saginaw Psychological Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Hemmeter Rd, Saginaw, MI 48603 Phone: 989-799-2100 Fax: 989-799-2637 | |