| Serene Attachments Therapy Pllc | |
|
160 Division St Ste E Coldwater MI 49036-2914 | |
| (517) 677-0848 | |
| Not Available |
| Full Name | Serene Attachments Therapy Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 160 Division St Ste E, Coldwater, Michigan |
| Authorized Official Name and Position | Alexander Fry (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 5176770848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serene Attachments Therapy Pllc 160 Division St Ste E Coldwater MI 49036-2914 Ph: (517) 677-0848 | Serene Attachments Therapy Pllc 160 Division St Ste E Coldwater MI 49036-2914 Ph: (517) 677-0848 |
| NPI Number | 1114500964 |
|---|---|
| Provider Enumeration Date | 04/29/2021 |
| Last Update Date | 05/19/2021 |
| Certification Date | 05/19/2021 |
| Medicare PECOS PAC ID | 0345682654 |
|---|---|
| Medicare Enrollment ID | O20240531000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114500964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Alexander Eliot Fry |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326690108 PECOS PAC ID: 1254773567 Enrollment ID: I20240531000628 |
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