| Meaningful Change: Clinical & Consultation Psychology, Pllc | |
|
600 E Broadway St Ste 107 Mount Pleasant MI 48858-2776 | |
| (989) 824-6565 | |
| (833) 647-2020 |
| Full Name | Meaningful Change: Clinical & Consultation Psychology, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 600 E Broadway St Ste 107, Mount Pleasant, Michigan |
| Authorized Official Name and Position | Daham Raul Sol (DIRECTOR/OWNER) |
| Authorized Official Contact | 9898246565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meaningful Change: Clinical & Consultation Psychology, Pllc 600 E Broadway St Ste 107 Mount Pleasant MI 48858-2776 Ph: (989) 824-6565 | Meaningful Change: Clinical & Consultation Psychology, Pllc 600 E Broadway St Ste 107 Mount Pleasant MI 48858-2776 Ph: (989) 824-6565 |
| NPI Number | 1881292076 |
|---|---|
| Provider Enumeration Date | 10/11/2020 |
| Last Update Date | 08/22/2021 |
| Certification Date | 08/22/2021 |
| Medicare PECOS PAC ID | 0941618169 |
|---|---|
| Medicare Enrollment ID | O20210427003002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881292076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Daham R Sol |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356773923 PECOS PAC ID: 1254670631 Enrollment ID: I20190301000292 |
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