| Success Behavioral Health | |
|
1717 E Sugnet Rd Midland MI 48642-3827 | |
| (989) 615-5989 | |
| (989) 607-2119 |
| Full Name | Success Behavioral Health |
|---|---|
| Speciality | Psychologist |
| Location | 1717 E Sugnet Rd, Midland, Michigan |
| Authorized Official Name and Position | Teresa J Lynch (OWNER) |
| Authorized Official Contact | 9896155989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Success Behavioral Health 3909 Lancaster St Midland MI 48642-3758 Ph: (989) 615-5989 | Success Behavioral Health 1717 E Sugnet Rd Midland MI 48642-3827 Ph: (989) 615-5989 |
| NPI Number | 1750951422 |
|---|---|
| Provider Enumeration Date | 06/25/2021 |
| Last Update Date | 08/10/2021 |
| Certification Date | 08/10/2021 |
| Medicare PECOS PAC ID | 6002211257 |
|---|---|
| Medicare Enrollment ID | O20210825003755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750951422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Teresa Jean Lynch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326212168 PECOS PAC ID: 1557543584 Enrollment ID: I20110311000112 |
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