| Palazzolo Therapy Services Llc | |
|
909 Abbot Rd Ste B East Lansing MI 48823-3168 | |
| (734) 550-1052 | |
| Not Available |
| Full Name | Palazzolo Therapy Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 909 Abbot Rd Ste B, East Lansing, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palazzolo Therapy Services Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Palazzolo Therapy Services Llc 909 Abbot Rd Ste B East Lansing MI 48823-3168 Ph: (734) 550-1052 |
| NPI Number | 1396461133 |
|---|---|
| Provider Enumeration Date | 10/13/2022 |
| Last Update Date | 05/03/2023 |
| Certification Date | 05/03/2023 |
| Medicare PECOS PAC ID | 9931578523 |
|---|---|
| Medicare Enrollment ID | O20221202001079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396461133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Scott Edward Palazzolo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902463607 PECOS PAC ID: 8628471901 Enrollment ID: I20210723001853 |
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