| Reimage Collective Llc | |
|
432 S Saginaw St Ste 300 Flint MI 48502-1845 | |
| (810) 553-6013 | |
| (844) 713-3792 |
| Full Name | Reimage Collective Llc |
|---|---|
| Speciality | Social Worker |
| Location | 432 S Saginaw St Ste 300, Flint, Michigan |
| Authorized Official Name and Position | George Conway (OWNER/OPERATOR) |
| Authorized Official Contact | 8105138399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reimage Collective Llc 432 S Saginaw St Ste 300 Flint MI 48502-1845 Ph: (810) 553-6013 | Reimage Collective Llc 432 S Saginaw St Ste 300 Flint MI 48502-1845 Ph: (810) 553-6013 |
| NPI Number | 1326402090 |
|---|---|
| Provider Enumeration Date | 04/08/2016 |
| Last Update Date | 04/15/2020 |
| Certification Date | 04/15/2020 |
| Medicare PECOS PAC ID | 2961832126 |
|---|---|
| Medicare Enrollment ID | O20200501000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326402090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 6801097477 (Michigan) | Primary |
| Provider Name | George Edward Conway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376907030 PECOS PAC ID: 8921384355 Enrollment ID: I20170419000405 |
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