Road2wellness Behavioral Health Services | |
616 W Broad St Linden MI 48451-8645 | |
(810) 936-0079 | |
(810) 936-0079 |
Full Name | Road2wellness Behavioral Health Services |
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Speciality | Social Worker |
Location | 616 W Broad St, Linden, Michigan |
Authorized Official Name and Position | Joann Niedecken (OFFICE MANAGER) |
Authorized Official Contact | 9897802185 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Road2wellness Behavioral Health Services 616 W Broad St Linden MI 48451-8645 Ph: (810) 936-0079 | Road2wellness Behavioral Health Services 616 W Broad St Linden MI 48451-8645 Ph: (810) 936-0079 |
NPI Number | 1811648678 |
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Provider Enumeration Date | 01/13/2022 |
Last Update Date | 11/17/2023 |
Certification Date | 11/17/2023 |
Medicare PECOS PAC ID | 3173979879 |
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Medicare Enrollment ID | O20231101002824 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811648678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Courtney Remillard |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093931388 PECOS PAC ID: 7618299025 Enrollment ID: I20141212001630 |
Provider Name | Faith Turvey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417281056 PECOS PAC ID: 4880990233 Enrollment ID: I20160310000733 |
Provider Name | Stephanie C Jackson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497985113 PECOS PAC ID: 7113295155 Enrollment ID: I20170616000735 |
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