| Just Tri Recovery | |
|
1250 Middlebelt Rd Inkster MI 48141-1628 | |
| (734) 858-7261 | |
| (734) 661-6371 |
| Full Name | Just Tri Recovery |
|---|---|
| Speciality | Social Worker |
| Location | 1250 Middlebelt Rd, Inkster, Michigan |
| Authorized Official Name and Position | Marla J Edwards-wheeler (OWNER) |
| Authorized Official Contact | 7343346623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Just Tri Recovery 29465 Hazelwood St Inkster MI 48141-1541 Ph: (734) 334-6623 | Just Tri Recovery 1250 Middlebelt Rd Inkster MI 48141-1628 Ph: (734) 858-7261 |
| NPI Number | 1710613799 |
|---|---|
| Provider Enumeration Date | 08/01/2022 |
| Last Update Date | 07/11/2023 |
| Certification Date | 07/11/2023 |
| Medicare PECOS PAC ID | 6305208992 |
|---|---|
| Medicare Enrollment ID | O20230814003437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710613799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Marla J Edwards-wheeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154974939 PECOS PAC ID: 6901132828 Enrollment ID: I20190730001586 |
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