| Liberating Wellness Pllc | |
|
20997 Sherman Ave Southfield MI 48033-6662 | |
| (248) 943-6285 | |
| Not Available |
| Full Name | Liberating Wellness Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 20997 Sherman Ave, Southfield, Michigan |
| Authorized Official Name and Position | Christopher Edgar-smith (OWNER) |
| Authorized Official Contact | 2489436285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberating Wellness Pllc 20997 Sherman Ave Southfield MI 48033-6662 Ph: (248) 943-6285 | Liberating Wellness Pllc 20997 Sherman Ave Southfield MI 48033-6662 Ph: (248) 943-6285 |
| NPI Number | 1437748399 |
|---|---|
| Provider Enumeration Date | 01/14/2021 |
| Last Update Date | 01/14/2021 |
| Certification Date | 01/14/2021 |
| Medicare PECOS PAC ID | 3577964857 |
|---|---|
| Medicare Enrollment ID | O20210623003902 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437748399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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