| People In Bloom Plc | |
|
525 S Union St Ste B Traverse City MI 49684 | |
| (231) 492-3170 | |
| Not Available |
| Full Name | People In Bloom Plc |
|---|---|
| Speciality | Counselor |
| Location | 525 S Union St Ste B, Traverse City, Michigan |
| Authorized Official Name and Position | Kathy M Lantzer (THERAPIST) |
| Authorized Official Contact | 2316320206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| People In Bloom Plc 525 S Union St Ste B Traverse City MI 49684-3246 Ph: (231) 492-3170 | People In Bloom Plc 525 S Union St Ste B Traverse City MI 49684 Ph: (231) 492-3170 |
| NPI Number | 1336692144 |
|---|---|
| Provider Enumeration Date | 07/28/2016 |
| Last Update Date | 10/13/2022 |
| Certification Date | 10/13/2022 |
| Medicare PECOS PAC ID | 2466749361 |
|---|---|
| Medicare Enrollment ID | O20160920002760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336692144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6801077025 (Michigan) | Primary |
| Provider Name | Kathleen M Lantzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588703706 PECOS PAC ID: 6204930720 Enrollment ID: I20070322000377 |
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