| No Mud No Lotus Counseling & Psychotherapy Llc | |
|
27620 Farmington Rd Ste 105 Farmington Hills MI 48334-3367 | |
| (248) 660-9870 | |
| Not Available |
| Full Name | No Mud No Lotus Counseling & Psychotherapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 27620 Farmington Rd Ste 105, Farmington Hills, Michigan |
| Authorized Official Name and Position | Kristen Chapman (OWNER) |
| Authorized Official Contact | 2486609870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| No Mud No Lotus Counseling & Psychotherapy Llc 11457 Lucerne Redford MI 48239-2281 Ph: (248) 660-9870 | No Mud No Lotus Counseling & Psychotherapy Llc 27620 Farmington Rd Ste 105 Farmington Hills MI 48334-3367 Ph: (248) 660-9870 |
| NPI Number | 1104374800 |
|---|---|
| Provider Enumeration Date | 09/12/2016 |
| Last Update Date | 09/12/2016 |
| Medicare PECOS PAC ID | 4789964925 |
|---|---|
| Medicare Enrollment ID | O20161206000991 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104374800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801094276 (Michigan) | Primary |
| Provider Name | Kristen Chapman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861743064 PECOS PAC ID: 0244457653 Enrollment ID: I20140808000391 |
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