Kn Mental Health Services Llc | |
1111 Hall Road Utica MI 48317 | |
(586) 697-0218 | |
Not Available |
Full Name | Kn Mental Health Services Llc |
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Speciality | Social Worker |
Location | 1111 Hall Road, Utica, Michigan |
Authorized Official Name and Position | Kathleen Nowicki (MANAGER) |
Authorized Official Contact | 5862468903 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kn Mental Health Services Llc 57808 Apple Creek Dr Washington MI 48094-3227 Ph: (586) 246-8903 | Kn Mental Health Services Llc 1111 Hall Road Utica MI 48317 Ph: (586) 697-0218 |
NPI Number | 1942851670 |
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Provider Enumeration Date | 09/24/2019 |
Last Update Date | 09/24/2019 |
Medicare PECOS PAC ID | 3476985797 |
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Medicare Enrollment ID | O20191107000281 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942851670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Kathleen Nowicki |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437642592 PECOS PAC ID: 3274965595 Enrollment ID: I20191107000453 |
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