Re-elevation Counseling Llc | |
872 S Grove St Ste Ll Ypsilanti MI 48198-6300 | |
(734) 219-3711 | |
Not Available |
Full Name | Re-elevation Counseling Llc |
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Speciality | Social Worker |
Location | 872 S Grove St Ste Ll, Ypsilanti, Michigan |
Authorized Official Name and Position | Rhonda Bantsimba (OWNER/LMSW) |
Authorized Official Contact | 7342193711 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Re-elevation Counseling Llc 872 S Grove St Ste Ll Ypsilanti MI 48198-6300 Ph: (734) 219-3711 | Re-elevation Counseling Llc 872 S Grove St Ste Ll Ypsilanti MI 48198-6300 Ph: (734) 219-3711 |
NPI Number | 1831665215 |
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Provider Enumeration Date | 10/23/2018 |
Last Update Date | 10/23/2018 |
Medicare PECOS PAC ID | 7517336654 |
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Medicare Enrollment ID | O20221212000975 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831665215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Rhonda Jean Bantsimba |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528409547 PECOS PAC ID: 8426427568 Enrollment ID: I20221212001271 |
Provider Name | Bernice Maxine Hardman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528794450 PECOS PAC ID: 9032551072 Enrollment ID: I20240522003325 |
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