| Living In The Pause Pllc | |
|
2387 S Linden Rd Ste 120 Flint MI 48532-5487 | |
| (810) 701-8493 | |
| Not Available |
| Full Name | Living In The Pause Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2387 S Linden Rd Ste 120, Flint, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living In The Pause Pllc Po Box 10 Mason MI 48854-0010 Ph: () - | Living In The Pause Pllc 2387 S Linden Rd Ste 120 Flint MI 48532-5487 Ph: (810) 701-8493 |
| NPI Number | 1477015824 |
|---|---|
| Provider Enumeration Date | 04/04/2019 |
| Last Update Date | 02/03/2022 |
| Certification Date | 02/03/2022 |
| Medicare PECOS PAC ID | 8921332198 |
|---|---|
| Medicare Enrollment ID | O20190620003448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477015824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Laura Elena Macias-brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922237403 PECOS PAC ID: 0143368787 Enrollment ID: I20091119000051 |
| Provider Name | Kasie Marie Nickel-white |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891092326 PECOS PAC ID: 8729334990 Enrollment ID: I20180629001711 |
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