Inner Dawn Llc | |
257 S Main St Ste 2 Onsted MI 49265-9682 | |
(517) 292-3305 | |
Not Available |
Full Name | Inner Dawn Llc |
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Speciality | Social Worker |
Location | 257 S Main St Ste 2, Onsted, Michigan |
Authorized Official Name and Position | Nichole Bellfy (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 5172923305 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Inner Dawn Llc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Inner Dawn Llc 257 S Main St Ste 2 Onsted MI 49265-9682 Ph: (517) 292-3305 |
NPI Number | 1982105995 |
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Provider Enumeration Date | 02/25/2018 |
Last Update Date | 11/06/2024 |
Certification Date | 11/06/2024 |
Medicare PECOS PAC ID | 0648534594 |
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Medicare Enrollment ID | O20180501002570 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982105995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Nichole Bellfy |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255612164 PECOS PAC ID: 6709180490 Enrollment ID: I20160201000057 |
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