Renew Therapeutic Solutions, Pllc | |
120 E Liberty St Ste 210 Ann Arbor MI 48104-2156 | |
(734) 335-4747 | |
Not Available |
Full Name | Renew Therapeutic Solutions, Pllc |
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Speciality | Social Worker |
Location | 120 E Liberty St Ste 210, Ann Arbor, Michigan |
Authorized Official Name and Position | Roxann Mudry (OWNER) |
Authorized Official Contact | 7343354747 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Renew Therapeutic Solutions, Pllc 2163 Martin St Westland MI 48186-9393 Ph: (734) 335-4747 | Renew Therapeutic Solutions, Pllc 120 E Liberty St Ste 210 Ann Arbor MI 48104-2156 Ph: (734) 335-4747 |
NPI Number | 1902362502 |
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Provider Enumeration Date | 02/19/2019 |
Last Update Date | 02/19/2019 |
Medicare PECOS PAC ID | 0749521342 |
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Medicare Enrollment ID | O20190409000849 |
Identifier | Type | State | Issuer |
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1902362502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Roxann Mudry |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861875817 PECOS PAC ID: 1658612254 Enrollment ID: I20190409001090 |
Provider Name | Patresa Schweitzer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114669868 PECOS PAC ID: 7416328778 Enrollment ID: I20230124001703 |
Provider Name | Nicole Christine Polan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053784348 PECOS PAC ID: 3173985165 Enrollment ID: I20230808000846 |
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