| On Your Side Family Services | |
|
2801 W Jefferson Ave Trenton MI 48183-2901 | |
| (734) 346-6430 | |
| Not Available |
| Full Name | On Your Side Family Services |
|---|---|
| Speciality | Social Worker |
| Location | 2801 W Jefferson Ave, Trenton, Michigan |
| Authorized Official Name and Position | Heather Allison Herrick (CO-PRESIDENT) |
| Authorized Official Contact | 7343551585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| On Your Side Family Services 5508 Wilson St Trenton MI 48183-4745 Ph: (734) 355-1585 | On Your Side Family Services 2801 W Jefferson Ave Trenton MI 48183-2901 Ph: (734) 346-6430 |
| NPI Number | 1982212304 |
|---|---|
| Provider Enumeration Date | 07/22/2020 |
| Last Update Date | 12/08/2020 |
| Certification Date | 12/08/2020 |
| Medicare PECOS PAC ID | 6406260785 |
|---|---|
| Medicare Enrollment ID | O20210127003008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982212304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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