Pats Psychological Services Llc | |
808 W Lake Lansing Rd Ste 200 East Lansing MI 48823-6322 | |
(517) 705-3202 | |
Not Available |
Full Name | Pats Psychological Services Llc |
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Speciality | Social Worker |
Location | 808 W Lake Lansing Rd Ste 200, East Lansing, Michigan |
Authorized Official Name and Position | Elizabeth Mary Davis-pennington (OWNER) |
Authorized Official Contact | 5175889313 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Pats Psychological Services Llc 808 W Lake Lansing Rd Ste 200 East Lansing MI 48823-6322 Ph: (517) 705-3202 | Pats Psychological Services Llc 808 W Lake Lansing Rd Ste 200 East Lansing MI 48823-6322 Ph: (517) 705-3202 |
NPI Number | 1780287128 |
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Provider Enumeration Date | 11/18/2020 |
Last Update Date | 10/19/2023 |
Certification Date | 10/19/2023 |
Medicare PECOS PAC ID | 8123431814 |
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Medicare Enrollment ID | O20210120000871 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780287128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Elizabeth Mary Davis-pennington |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013503713 PECOS PAC ID: 9032522727 Enrollment ID: I20210120000984 |
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