| Kelly Lewis Counseling & Healing Llc | |
|
305 Adams Rd Saginaw MI 48609-6870 | |
| (989) 274-1694 | |
| Not Available |
| Full Name | Kelly Lewis Counseling & Healing Llc |
|---|---|
| Speciality | Social Worker |
| Location | 305 Adams Rd, Saginaw, Michigan |
| Authorized Official Name and Position | Kelly Lewis (OWNER) |
| Authorized Official Contact | 9892741694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Lewis Counseling & Healing Llc 305 Adams Rd Saginaw MI 48609-6870 Ph: (989) 274-1694 | Kelly Lewis Counseling & Healing Llc 305 Adams Rd Saginaw MI 48609-6870 Ph: (989) 274-1694 |
| NPI Number | 1194470583 |
|---|---|
| Provider Enumeration Date | 02/15/2022 |
| Last Update Date | 02/18/2022 |
| Certification Date | 02/18/2022 |
| Medicare PECOS PAC ID | 5698169290 |
|---|---|
| Medicare Enrollment ID | O20220224001951 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194470583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kelly Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972644029 PECOS PAC ID: 5698091478 Enrollment ID: I20150313002034 |
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