| Restoration Therapy Llc | |
|
3301 Veterans Dr Traverse City MI 49684-4574 | |
| (231) 412-4842 | |
| Not Available |
| Full Name | Restoration Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3301 Veterans Dr, Traverse City, Michigan |
| Authorized Official Name and Position | Sheri Hadfield (THERAPIST) |
| Authorized Official Contact | 2316221690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Therapy Llc 4150 Huntington Dr Traverse City MI 49686-3724 Ph: (231) 622-1690 | Restoration Therapy Llc 3301 Veterans Dr Traverse City MI 49684-4574 Ph: (231) 412-4842 |
| NPI Number | 1093465585 |
|---|---|
| Provider Enumeration Date | 03/27/2022 |
| Last Update Date | 03/27/2022 |
| Certification Date | 03/27/2022 |
| Medicare PECOS PAC ID | 6608213913 |
|---|---|
| Medicare Enrollment ID | O20240322000588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093465585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sheri L Hadfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558830323 PECOS PAC ID: 7315359544 Enrollment ID: I20201212000165 |
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