| Pavo Behavioral Therapy Llc | |
|
1099 Skyevale Dr Ada MI 49301 | |
| (810) 423-0890 | |
| Not Available |
| Full Name | Pavo Behavioral Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1099 Skyevale Dr, Ada, Michigan |
| Authorized Official Name and Position | Lakshmi Padma Kocharla (CEO) |
| Authorized Official Contact | 8104230890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pavo Behavioral Therapy Llc 1099 Skyevale Dr Ada MI 49301 Ph: (810) 423-0890 | Pavo Behavioral Therapy Llc 1099 Skyevale Dr Ada MI 49301 Ph: (810) 423-0890 |
| NPI Number | 1609520022 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 02/04/2022 |
| Certification Date | 01/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609520022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Selah Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 983 Spaulding Ave Se, Ada, MI 49301 Phone: 616-466-4790 | |
Aurora Counseling Group, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4670 Fulton St E Ste 101, Ada, MI 49301 Phone: 616-466-4724 | |
Vajendra J Desai Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3321 Buckhaven Dr Se, Ada, MI 49301 Phone: 616-235-2090 Fax: 616-235-2099 | |
Kathleen J. Cramer Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 967 Spaulding Ave Se, Suite E, Ada, MI 49301 Phone: 616-464-4324 Fax: 616-949-5336 | |
Lantern Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4764 Fulton St E, Ada, MI 49301 Phone: 616-378-6201 | |
Mary Zuidema Lmsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 938 Spaulding Ave Se, Ada, MI 49301 Phone: 616-773-2121 Fax: 616-942-0008 | |
Sunburst Integrative Therapy & Wellness Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2534 Ashwood Ct Se, Ada, MI 49301 Phone: 616-560-5475 |