| Sisu Wellness And Counseling, Llc | |
|
2780 Charlevoix Rd Ste 13 Petoskey MI 49770-8058 | |
| (231) 881-2149 | |
| Not Available |
| Full Name | Sisu Wellness And Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2780 Charlevoix Rd Ste 13, Petoskey, Michigan |
| Authorized Official Name and Position | Katrina M Tripp (OWNER) |
| Authorized Official Contact | 2318812149 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sisu Wellness And Counseling, Llc 653 Alcan Dr Petoskey MI 49770-9622 Ph: (231) 881-2149 | Sisu Wellness And Counseling, Llc 2780 Charlevoix Rd Ste 13 Petoskey MI 49770-8058 Ph: (231) 881-2149 |
| NPI Number | 1275130817 |
|---|---|
| Provider Enumeration Date | 10/06/2020 |
| Last Update Date | 01/08/2021 |
| Certification Date | 01/08/2021 |
| Medicare PECOS PAC ID | 8224482690 |
|---|---|
| Medicare Enrollment ID | O20231004000636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275130817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Katrina Mae Tripp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609359207 PECOS PAC ID: 4688028053 Enrollment ID: I20231004000758 |
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