| Path To Resilience Llc | |
|
2385 S Huron Pkwy Ste 2n Ann Arbor MI 48104-5127 | |
| (734) 646-1505 | |
| (734) 882-2861 |
| Full Name | Path To Resilience Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2385 S Huron Pkwy Ste 2n, Ann Arbor, Michigan |
| Authorized Official Name and Position | Lori Ann Bush (PRESIDENT/OWNER) |
| Authorized Official Contact | 7346461505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Path To Resilience Llc 2385 S Huron Pkwy Ste 2n Ann Arbor MI 48104-5127 Ph: (734) 646-1505 | Path To Resilience Llc 2385 S Huron Pkwy Ste 2n Ann Arbor MI 48104-5127 Ph: (734) 646-1505 |
| NPI Number | 1659883379 |
|---|---|
| Provider Enumeration Date | 11/03/2017 |
| Last Update Date | 11/03/2017 |
| Medicare PECOS PAC ID | 7517310139 |
|---|---|
| Medicare Enrollment ID | O20240131001274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659883379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801096561 (Michigan) | Primary |
| Provider Name | Lori Bush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639564909 PECOS PAC ID: 0648614347 Enrollment ID: I20240221003088 |
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