In Our Practice Psychotherapy Private Practice | |
3400 Shattuck Rd Ste 2 Saginaw MI 48603-3157 | |
(989) 272-3727 | |
(989) 355-0447 |
Full Name | In Our Practice Psychotherapy Private Practice |
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Speciality | Social Worker |
Location | 3400 Shattuck Rd Ste 2, Saginaw, Michigan |
Authorized Official Name and Position | Stacy Lynn Athens (SOLE MEMBER) |
Authorized Official Contact | 9892723727 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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In Our Practice Psychotherapy Private Practice 3400 Shattuck Rd Ste 2 Saginaw MI 48603-3157 Ph: (989) 272-3727 | In Our Practice Psychotherapy Private Practice 3400 Shattuck Rd Ste 2 Saginaw MI 48603-3157 Ph: (989) 272-3727 |
NPI Number | 1124666714 |
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Provider Enumeration Date | 12/15/2019 |
Last Update Date | 02/16/2022 |
Certification Date | 02/16/2022 |
Medicare PECOS PAC ID | 5193135218 |
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Medicare Enrollment ID | O20201030002437 |
Identifier | Type | State | Issuer |
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1124666714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Stacy Athens |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205369626 PECOS PAC ID: 2466738679 Enrollment ID: I20170424000732 |
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