| Mental Embrace Llc | |
|
1261 Beaupre Ave Madison Heights MI 48071-2620 | |
| (586) 801-2722 | |
| Not Available |
| Full Name | Mental Embrace Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1261 Beaupre Ave, Madison Heights, Michigan |
| Authorized Official Name and Position | Amanda M Briskey (OWNER) |
| Authorized Official Contact | 5868012722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Embrace Llc 1261 Beaupre Ave Madison Heights MI 48071-2620 Ph: (586) 801-2722 | Mental Embrace Llc 1261 Beaupre Ave Madison Heights MI 48071-2620 Ph: (586) 801-2722 |
| NPI Number | 1083377485 |
|---|---|
| Provider Enumeration Date | 10/21/2021 |
| Last Update Date | 10/21/2021 |
| Certification Date | 10/18/2021 |
| Medicare PECOS PAC ID | 4981083284 |
|---|---|
| Medicare Enrollment ID | O20220616001098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083377485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amanda Mary Briskey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457813958 PECOS PAC ID: 5698190981 Enrollment ID: I20200804000761 |
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