| Peaceful Psyche Llc | |
|
3375 Pittsview Dr Ann Arbor MI 48108-1945 | |
| (734) 358-4704 | |
| Not Available |
| Full Name | Peaceful Psyche Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3375 Pittsview Dr, Ann Arbor, Michigan |
| Authorized Official Name and Position | Bonnie Sarnoff (OWNER) |
| Authorized Official Contact | 7343584704 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Psyche Llc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Peaceful Psyche Llc 3375 Pittsview Dr Ann Arbor MI 48108-1945 Ph: (734) 358-4704 |
| NPI Number | 1710384003 |
|---|---|
| Provider Enumeration Date | 12/02/2014 |
| Last Update Date | 09/10/2020 |
| Certification Date | 09/10/2020 |
| Medicare PECOS PAC ID | 7911222609 |
|---|---|
| Medicare Enrollment ID | O20150223000841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710384003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | 6801067755 (Michigan) | Secondary |
| Provider Name | Bonnie Sarnoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972516383 PECOS PAC ID: 2163429655 Enrollment ID: I20061025000563 |
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