Serenity Sunset Therapy Pllc | |
3001 Dixon Rd Caro MI 48723-9634 | |
(231) 250-5663 | |
Not Available |
Full Name | Serenity Sunset Therapy Pllc |
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Speciality | Social Worker |
Location | 3001 Dixon Rd, Caro, Michigan |
Authorized Official Name and Position | Samantha Zeis (OWNER) |
Authorized Official Contact | 2312505663 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Serenity Sunset Therapy Pllc 3001 Dixon Rd Caro MI 48723-9634 Ph: (231) 250-5663 | Serenity Sunset Therapy Pllc 3001 Dixon Rd Caro MI 48723-9634 Ph: (231) 250-5663 |
NPI Number | 1861258238 |
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Provider Enumeration Date | 02/23/2024 |
Last Update Date | 06/27/2024 |
Certification Date | 06/27/2024 |
Medicare PECOS PAC ID | 3375080930 |
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Medicare Enrollment ID | O20240801001270 |
Identifier | Type | State | Issuer |
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1861258238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Samantha Marie Zeis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487319133 PECOS PAC ID: 7214389451 Enrollment ID: I20240123004086 |
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