| One Step With Jesus Inc | |
|
16915 Livernois Ave Detroit MI 48221-3058 | |
| (313) 285-6472 | |
| Not Available |
| Full Name | One Step With Jesus Inc |
|---|---|
| Speciality | Social Worker |
| Location | 16915 Livernois Ave, Detroit, Michigan |
| Authorized Official Name and Position | Gary Allen Strode (PRESIDENT) |
| Authorized Official Contact | 3132856472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Step With Jesus Inc 16915 Livernois Ave Detroit MI 48221-3058 Ph: (313) 285-6472 | One Step With Jesus Inc 16915 Livernois Ave Detroit MI 48221-3058 Ph: (313) 285-6472 |
| NPI Number | 1992399398 |
|---|---|
| Provider Enumeration Date | 02/25/2021 |
| Last Update Date | 10/04/2022 |
| Certification Date | 10/04/2022 |
| Medicare PECOS PAC ID | 9436534658 |
|---|---|
| Medicare Enrollment ID | O20220923000664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992399398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sharon Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801281498 PECOS PAC ID: 7012237662 Enrollment ID: I20150521000961 |
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