Leap Therapy Services Llc | |
10079 Bergin Rd Howell MI 48843-7049 | |
(517) 304-1835 | |
Not Available |
Full Name | Leap Therapy Services Llc |
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Speciality | Social Worker |
Location | 10079 Bergin Rd, Howell, Michigan |
Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
Authorized Official Contact | 5176769797 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Leap Therapy Services Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Leap Therapy Services Llc 10079 Bergin Rd Howell MI 48843-7049 Ph: (517) 304-1835 |
NPI Number | 1386490548 |
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Provider Enumeration Date | 04/29/2024 |
Last Update Date | 04/29/2024 |
Certification Date | 04/29/2024 |
Medicare PECOS PAC ID | 7911348222 |
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Medicare Enrollment ID | O20240516002697 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386490548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Nicola Claire Herman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1215502091 PECOS PAC ID: 6002216371 Enrollment ID: I20210609000823 |
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