Perla P Garza Therapy Llc | |
1222 Prairie Creek Rd Ionia MI 48846-9771 | |
(616) 835-6306 | |
Not Available |
Full Name | Perla P Garza Therapy Llc |
---|---|
Speciality | Social Worker |
Location | 1222 Prairie Creek Rd, Ionia, Michigan |
Authorized Official Name and Position | Perla Paredes Garza (OWNER) |
Authorized Official Contact | 6168356306 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Perla P Garza Therapy Llc 1222 Prairie Creek Rd Ionia MI 48846-9771 Ph: (616) 835-6306 | Perla P Garza Therapy Llc 1222 Prairie Creek Rd Ionia MI 48846-9771 Ph: (616) 835-6306 |
NPI Number | 1023545282 |
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Provider Enumeration Date | 05/18/2017 |
Last Update Date | 04/16/2024 |
Certification Date | 04/16/2024 |
Medicare PECOS PAC ID | 8820409089 |
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Medicare Enrollment ID | O20201119003440 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023545282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Perla Garza |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659805802 PECOS PAC ID: 3577974732 Enrollment ID: I20201119003378 |
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