Scott G Adams Services Llc | |
11202 Highland Rd Hartland MI 48353-2704 | |
(810) 279-0537 | |
Not Available |
Full Name | Scott G Adams Services Llc |
---|---|
Speciality | Counselor |
Location | 11202 Highland Rd, Hartland, Michigan |
Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
Authorized Official Contact | 5176769788 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Scott G Adams Services Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Scott G Adams Services Llc 11202 Highland Rd Hartland MI 48353-2704 Ph: (810) 279-0537 |
NPI Number | 1841935129 |
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Provider Enumeration Date | 05/02/2022 |
Last Update Date | 05/03/2022 |
Certification Date | 05/03/2022 |
Medicare PECOS PAC ID | 8123477411 |
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Medicare Enrollment ID | O20231212002316 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841935129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Provider Name | Scott Adams |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1265839351 PECOS PAC ID: 9032568324 Enrollment ID: I20231212002690 |
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