| Monroe Wellness Center Llc | |
|
311 N Monroe St Monroe MI 48162-2621 | |
| (734) 770-7912 | |
| (734) 241-0014 |
| Full Name | Monroe Wellness Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 311 N Monroe St, Monroe, Michigan |
| Authorized Official Name and Position | Andrew Shehadeh Butler (EMPLOYEE/OWNER) |
| Authorized Official Contact | 7347707912 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monroe Wellness Center Llc 4909 Tanager Dr Monroe MI 48161-9644 Ph: (734) 770-7912 | Monroe Wellness Center Llc 311 N Monroe St Monroe MI 48162-2621 Ph: (734) 770-7912 |
| NPI Number | 1356185060 |
|---|---|
| Provider Enumeration Date | 06/19/2024 |
| Last Update Date | 06/19/2024 |
| Certification Date | 06/19/2024 |
| Medicare PECOS PAC ID | 1355888918 |
|---|---|
| Medicare Enrollment ID | O20240801001352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356185060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Andrew Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386195592 PECOS PAC ID: 5092252486 Enrollment ID: I20240802001967 |
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