| Life's Work Clinic, Pllc | |
|
103 W 3rd St Unit E Kalkaska MI 49646-5107 | |
| (231) 620-7977 | |
| (231) 715-3222 |
| Full Name | Life's Work Clinic, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 103 W 3rd St Unit E, Kalkaska, Michigan |
| Authorized Official Name and Position | Adam Devaney (OWNER) |
| Authorized Official Contact | 2316207977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life's Work Clinic, Pllc 103 W 3rd St. Unit E - 524 Kalkaska MI 49646-0524 Ph: (231) 620-7977 | Life's Work Clinic, Pllc 103 W 3rd St Unit E Kalkaska MI 49646-5107 Ph: (231) 620-7977 |
| NPI Number | 1275189490 |
|---|---|
| Provider Enumeration Date | 08/13/2019 |
| Last Update Date | 06/08/2023 |
| Certification Date | 06/08/2023 |
| Medicare PECOS PAC ID | 4981015716 |
|---|---|
| Medicare Enrollment ID | O20201130000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275189490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jonathan William Decker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619275781 PECOS PAC ID: 1557686334 Enrollment ID: I20150219001610 |
| Provider Name | Adam Devaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043755135 PECOS PAC ID: 5890106629 Enrollment ID: I20201130000253 |
Kalkaska Memorial Health Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 419 S Coral St, Kalkaska, MI 49646 Phone: 231-258-7500 Fax: 231-258-7527 | |
Kalkaska Memorial Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 419 S Coral St, Kalkaska, MI 49646 Phone: 231-258-7500 Fax: 231-258-7527 | |
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