| New Life Transitions Llc | |
|
23077 Greenfield Rd Ste 156 Southfield MI 48075-3770 | |
| (248) 417-1008 | |
| Not Available |
| Full Name | New Life Transitions Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 23077 Greenfield Rd Ste 156, Southfield, Michigan |
| Authorized Official Name and Position | Natasha Purry (CEO) |
| Authorized Official Contact | 2487597771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Transitions Llc 5000 Town Ctr Ste 1506 Southfield MI 48075-1115 Ph: (248) 417-1008 | New Life Transitions Llc 23077 Greenfield Rd Ste 156 Southfield MI 48075-3770 Ph: (248) 417-1008 |
| NPI Number | 1194593160 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Medicare PECOS PAC ID | 1153766423 |
|---|---|
| Medicare Enrollment ID | O20240226003388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194593160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kelly Hobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619078011 PECOS PAC ID: 6800891649 Enrollment ID: I20070822001218 |
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