| Somerset Pines Therapy Services Pllc | |
|
4125 Okemos Rd Ste 21 Okemos MI 48864-2872 | |
| (517) 285-0610 | |
| Not Available |
| Full Name | Somerset Pines Therapy Services Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4125 Okemos Rd Ste 21, Okemos, 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 |
|---|---|
| Somerset Pines Therapy Services Pllc Po Box 10 Mason MI 48854-0010 Ph: () - | Somerset Pines Therapy Services Pllc 4125 Okemos Rd Ste 21 Okemos MI 48864-2872 Ph: (517) 285-0610 |
| NPI Number | 1346992302 |
|---|---|
| Provider Enumeration Date | 01/21/2022 |
| Last Update Date | 01/21/2022 |
| Certification Date | 01/21/2022 |
| Medicare PECOS PAC ID | 5193117174 |
|---|---|
| Medicare Enrollment ID | O20220125001771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346992302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Angela E Baranski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447804794 PECOS PAC ID: 6002208089 Enrollment ID: I20220125001820 |
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