| Success By Strengths Llc | |
|
05055 Blue Star Hwy South Haven MI 49090 | |
| (269) 767-1245 | |
| Not Available |
| Full Name | Success By Strengths Llc |
|---|---|
| Speciality | Social Worker |
| Location | 05055 Blue Star Hwy, South Haven, Michigan |
| Authorized Official Name and Position | Dawn Marie Conroy (LMSW) |
| Authorized Official Contact | 2697671245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Success By Strengths Llc 05055 Blue Star Memorial Hwy South Haven MI 49090-7135 Ph: (269) 767-1245 | Success By Strengths Llc 05055 Blue Star Hwy South Haven MI 49090 Ph: (269) 767-1245 |
| NPI Number | 1093249377 |
|---|---|
| Provider Enumeration Date | 04/13/2017 |
| Last Update Date | 04/21/2020 |
| Certification Date | 04/21/2020 |
| Medicare PECOS PAC ID | 8123305463 |
|---|---|
| Medicare Enrollment ID | O20170515001815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093249377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801065854 (Michigan) | Primary |
| Provider Name | Dawn M Conroy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063968824 PECOS PAC ID: 5092082727 Enrollment ID: I20170515001806 |
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