| Life Transitions, Inc. | |
|
17937 Hall Rd Macomb MI 48044-4557 | |
| (586) 255-0499 | |
| Not Available |
| Full Name | Life Transitions, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 17937 Hall Rd, Macomb, Michigan |
| Authorized Official Name and Position | Anna Marie Hickey (PRESIDENT) |
| Authorized Official Contact | 5862550499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Transitions, Inc. 17937 Hall Rd Macomb MI 48044-4557 Ph: (586) 255-0499 | Life Transitions, Inc. 17937 Hall Rd Macomb MI 48044-4557 Ph: (586) 255-0499 |
| NPI Number | 1952835985 |
|---|---|
| Provider Enumeration Date | 04/17/2017 |
| Last Update Date | 04/17/2017 |
| Medicare PECOS PAC ID | 9335550722 |
|---|---|
| Medicare Enrollment ID | O20201116000245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952835985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6401014923 (Michigan) | Primary |
| Provider Name | Jeffrey House |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952547804 PECOS PAC ID: 4082049937 Enrollment ID: I20200122003043 |
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