| Secs, Llc | |
|
18516 Archdale St Detroit MI 48235-3265 | |
| (313) 850-7818 | |
| Not Available |
| Full Name | Secs, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 18516 Archdale St, Detroit, Michigan |
| Authorized Official Name and Position | Evon Nicole Foster (OWNER) |
| Authorized Official Contact | 3138507818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Secs, Llc 18516 Archdale St Detroit MI 48235-3265 Ph: (313) 850-7818 | Secs, Llc 18516 Archdale St Detroit MI 48235-3265 Ph: (313) 850-7818 |
| NPI Number | 1114621299 |
|---|---|
| Provider Enumeration Date | 03/30/2023 |
| Last Update Date | 03/30/2023 |
| Certification Date | 03/30/2023 |
| Medicare PECOS PAC ID | 0749627818 |
|---|---|
| Medicare Enrollment ID | O20240325002616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114621299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Evon Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104121185 PECOS PAC ID: 3375968159 Enrollment ID: I20200811001177 |
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