| Positive Energy Therapy Llc | |
|
28 W Chicago St Ste 2b Coldwater MI 49036-1678 | |
| (517) 677-4684 | |
| Not Available |
| Full Name | Positive Energy Therapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 28 W Chicago St Ste 2b, Coldwater, Michigan |
| Authorized Official Name and Position | Kylie Spooner (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5176774684 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Energy Therapy Llc 203 E High St Union City MI 49094-1135 Ph: (269) 245-6146 | Positive Energy Therapy Llc 28 W Chicago St Ste 2b Coldwater MI 49036-1678 Ph: (517) 677-4684 |
| NPI Number | 1376300665 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/03/2024 |
| Medicare PECOS PAC ID | 0941743355 |
|---|---|
| Medicare Enrollment ID | O20240613002392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376300665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Kylie Spooner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790143758 PECOS PAC ID: 8022467000 Enrollment ID: I20231215002496 |
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