| Lion Heart Psychiatry, Pllc | |
|
415 W Grand River Ave East Lansing MI 48823-4201 | |
| (517) 388-3863 | |
| Not Available |
| Full Name | Lion Heart Psychiatry, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 415 W Grand River Ave, East Lansing, Michigan |
| Authorized Official Name and Position | Princewell Ugojinta Onwere (PRESIDENT/PSYCHIATRIST) |
| Authorized Official Contact | 5173883863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lion Heart Psychiatry, Pllc 336 University Dr East Lansing MI 48823-4133 Ph: () - | Lion Heart Psychiatry, Pllc 415 W Grand River Ave East Lansing MI 48823-4201 Ph: (517) 388-3863 |
| NPI Number | 1154863181 |
|---|---|
| Provider Enumeration Date | 11/08/2016 |
| Last Update Date | 04/11/2019 |
| Medicare PECOS PAC ID | 4587946033 |
|---|---|
| Medicare Enrollment ID | O20170118002616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154863181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5101014956 (Michigan) | Primary |
| Provider Name | Princewell U Onwere |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164441721 PECOS PAC ID: 8628002284 Enrollment ID: I20060907000368 |
| Provider Name | Annette Lyn Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407427990 PECOS PAC ID: 0042614315 Enrollment ID: I20210809002017 |
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