| Inner Depth Therapy, Pllc | |
|
223 Lakeside Dr Ludington MI 49431-3506 | |
| (248) 301-1381 | |
| Not Available |
| Full Name | Inner Depth Therapy, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 223 Lakeside Dr, Ludington, Michigan |
| Authorized Official Name and Position | Megan Modras (OWNER) |
| Authorized Official Contact | 2483011381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Depth Therapy, Pllc 223 Lakeside Dr Ludington MI 49431-3506 Ph: (248) 301-1381 | Inner Depth Therapy, Pllc 223 Lakeside Dr Ludington MI 49431-3506 Ph: (248) 301-1381 |
| NPI Number | 1457132441 |
|---|---|
| Provider Enumeration Date | 10/06/2023 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457132441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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