| Key Development Center, Inc. | |
|
2060 Grand River Annex Suite 600 Brighton MI 48114 | |
| (810) 220-8192 | |
| Not Available |
| Full Name | Key Development Center, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 2060 Grand River Annex Suite 600, Brighton, Michigan |
| Authorized Official Name and Position | Anne King-hudson (COUNSELOR) |
| Authorized Official Contact | 8102208192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Key Development Center, Inc. 2060 Grand River Annex Suite 600 Brighton MI 48114 Ph: (810) 220-8192 | Key Development Center, Inc. 2060 Grand River Annex Suite 600 Brighton MI 48114 Ph: (810) 220-8192 |
| NPI Number | 1386114866 |
|---|---|
| Provider Enumeration Date | 11/28/2018 |
| Last Update Date | 11/28/2018 |
| Medicare PECOS PAC ID | 0244602530 |
|---|---|
| Medicare Enrollment ID | O20230215000646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386114866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Patricia H Meyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295703171 PECOS PAC ID: 3971780784 Enrollment ID: I20110603000370 |
| Provider Name | Terri L Mackenzie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104961879 PECOS PAC ID: 9537380373 Enrollment ID: I20141021001407 |
| Provider Name | Stacy Marie Sledz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508464892 PECOS PAC ID: 0042682346 Enrollment ID: I20230215000747 |
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