| Peaces Of You, Llc | |
|
352 E Meyers Ave Hazel Park MI 48030-3502 | |
| (937) 969-0098 | |
| Not Available |
| Full Name | Peaces Of You, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 352 E Meyers Ave, Hazel Park, Michigan |
| Authorized Official Name and Position | Ellen Sarah Shansky (OWNER/THERAPIST) |
| Authorized Official Contact | 9379690098 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaces Of You, Llc 625 Kenmoor Ave Se Ste 350 Grand Rapids MI 49546-2395 Ph: () - | Peaces Of You, Llc 352 E Meyers Ave Hazel Park MI 48030-3502 Ph: (937) 969-0098 |
| NPI Number | 1427828276 |
|---|---|
| Provider Enumeration Date | 01/03/2024 |
| Last Update Date | 01/03/2024 |
| Certification Date | 12/12/2023 |
| Medicare PECOS PAC ID | 9032557012 |
|---|---|
| Medicare Enrollment ID | O20240410000897 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427828276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ellen Sarah Shansky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417573841 PECOS PAC ID: 0042660581 Enrollment ID: I20231227000389 |
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