| Inner Access Therapy Center Llc | |
|
453 Dildine Rd Ionia MI 48846-9564 | |
| (616) 235-2090 | |
| (616) 235-2099 |
| Full Name | Inner Access Therapy Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 453 Dildine Rd, Ionia, Michigan |
| Authorized Official Name and Position | Kim K Swisher (BILLING) |
| Authorized Official Contact | 6162352090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Access Therapy Center Llc 112 S Depot St Ionia MI 48846-1636 Ph: (616) 235-2090 | Inner Access Therapy Center Llc 453 Dildine Rd Ionia MI 48846-9564 Ph: (616) 235-2090 |
| NPI Number | 1780633149 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 06/13/2023 |
| Certification Date | 06/13/2023 |
| Medicare PECOS PAC ID | 4082687199 |
|---|---|
| Medicare Enrollment ID | O20040817001004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780633149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Renee A Bentley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346213527 PECOS PAC ID: 8426021536 Enrollment ID: I20040820000007 |
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