| Ivy Counseling Solutions Llc | |
|
25088 W 8 Mile Rd Apt 702 Southfield MI 48033-4054 | |
| (248) 320-4376 | |
| Not Available |
| Full Name | Ivy Counseling Solutions Llc |
|---|---|
| Speciality | Social Worker |
| Location | 25088 W 8 Mile Rd Apt 702, Southfield, Michigan |
| Authorized Official Name and Position | Jimmy Ivy (SOLE MBR / OWNER) |
| Authorized Official Contact | 2483204376 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Counseling Solutions Llc 25088 W 8 Mile Rd Apt 702 Southfield MI 48033-4054 Ph: () - | Ivy Counseling Solutions Llc 25088 W 8 Mile Rd Apt 702 Southfield MI 48033-4054 Ph: (248) 320-4376 |
| NPI Number | 1033863675 |
|---|---|
| Provider Enumeration Date | 02/11/2022 |
| Last Update Date | 08/03/2022 |
| Certification Date | 08/03/2022 |
| Medicare PECOS PAC ID | 5799171419 |
|---|---|
| Medicare Enrollment ID | O20220406001412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033863675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Jimmy Ivy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821588294 PECOS PAC ID: 6507252236 Enrollment ID: I20220406001601 |
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