| Resilience Psychotherapy Services Llc | |
|
30521 Schoenherr Rd Warren MI 48088-3161 | |
| (248) 219-4182 | |
| Not Available |
| Full Name | Resilience Psychotherapy Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 30521 Schoenherr Rd, Warren, Michigan |
| Authorized Official Name and Position | Celeste Hamner (OWNER) |
| Authorized Official Contact | 2482194182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilience Psychotherapy Services Llc 30521 Schoenherr Rd Warren MI 48088-3161 Ph: () - | Resilience Psychotherapy Services Llc 30521 Schoenherr Rd Warren MI 48088-3161 Ph: (248) 219-4182 |
| NPI Number | 1720582323 |
|---|---|
| Provider Enumeration Date | 03/20/2018 |
| Last Update Date | 03/20/2018 |
| Medicare PECOS PAC ID | 5193078616 |
|---|---|
| Medicare Enrollment ID | O20181031001812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720582323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Celeste Hamner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629448303 PECOS PAC ID: 2567711849 Enrollment ID: I20180820002177 |
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