| Inclusive Wellness Llc | |
|
411 W Lake Lansing Rd Ste A100 East Lansing MI 48823-8404 | |
| (517) 798-4894 | |
| Not Available |
| Full Name | Inclusive Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 411 W Lake Lansing Rd Ste A100, East Lansing, Michigan |
| Authorized Official Name and Position | Kiley Shilling (BILLING MANAGER) |
| Authorized Official Contact | 5172313962 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inclusive Wellness Llc 411 W Lake Lansing Rd Ste A100 East Lansing MI 48823-8404 Ph: (517) 798-4894 | Inclusive Wellness Llc 411 W Lake Lansing Rd Ste A100 East Lansing MI 48823-8404 Ph: (517) 798-4894 |
| NPI Number | 1891389029 |
|---|---|
| Provider Enumeration Date | 02/28/2021 |
| Last Update Date | 09/03/2024 |
| Certification Date | 09/03/2024 |
| Medicare PECOS PAC ID | 2062810237 |
|---|---|
| Medicare Enrollment ID | O20211004000196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891389029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mallory Trumble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982158911 PECOS PAC ID: 3971901141 Enrollment ID: I20211004000278 |
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