Independent Behavioral Health Group | |
4413 Corunna Rd Flint MI 48532-4321 | |
(810) 733-5733 | |
Not Available |
Full Name | Independent Behavioral Health Group |
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Speciality | Psychiatry & Neurology |
Location | 4413 Corunna Rd, Flint, Michigan |
Authorized Official Name and Position | Nikhil Vora (MEDICAL DIRECTORE) |
Authorized Official Contact | 8107335735 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Independent Behavioral Health Group 4413 Corunna Rd Flint MI 48532-4321 Ph: () - | Independent Behavioral Health Group 4413 Corunna Rd Flint MI 48532-4321 Ph: (810) 733-5733 |
NPI Number | 1437685856 |
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Provider Enumeration Date | 05/04/2017 |
Last Update Date | 05/04/2017 |
Medicare PECOS PAC ID | 1759658966 |
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Medicare Enrollment ID | O20170518001226 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437685856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Nikhil K Vora |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1043244411 PECOS PAC ID: 1052209079 Enrollment ID: I20040310000177 |
Provider Name | Jannaice D Mcpeake |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861520587 PECOS PAC ID: 5193758365 Enrollment ID: I20050917000077 |
Provider Name | Robert Martin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780797001 PECOS PAC ID: 3870599525 Enrollment ID: I20061020000052 |
Provider Name | Violet A Martin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285647685 PECOS PAC ID: 4688670334 Enrollment ID: I20061020000064 |
Provider Name | Joanne K Ingram |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144471046 PECOS PAC ID: 7012072457 Enrollment ID: I20090218000280 |
Provider Name | Brent Andrew Hughes |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447753215 PECOS PAC ID: 0345503991 Enrollment ID: I20180411002960 |
Provider Name | Mary Moritz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629509187 PECOS PAC ID: 3971866351 Enrollment ID: I20180417002721 |
Provider Name | Cindy Lancaster |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265886535 PECOS PAC ID: 9739442005 Enrollment ID: I20180419000970 |
Provider Name | Adria Danielle Haynes |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1215412093 PECOS PAC ID: 0244583102 Enrollment ID: I20181024000041 |
Provider Name | Pamela Hyles |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326522483 PECOS PAC ID: 5294088688 Enrollment ID: I20181101001567 |
Provider Name | Cassandra Lmsw Bouchard |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164988473 PECOS PAC ID: 9739581471 Enrollment ID: I20210716002031 |
Provider Name | Holly Dickinson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1700335049 PECOS PAC ID: 1658714720 Enrollment ID: I20240206000403 |
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