| Successful Adults In Transition Pllc | |
|
2321 Stonebridge Dr Flint MI 48532-5407 | |
| (810) 210-4960 | |
| (810) 228-3862 |
| Full Name | Successful Adults In Transition Pllc |
|---|---|
| Speciality | Counselor |
| Location | 2321 Stonebridge Dr, Flint, Michigan |
| Authorized Official Name and Position | Cindy L Lancaster (OWNER) |
| Authorized Official Contact | 8102104960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Successful Adults In Transition Pllc 505 Hidden Creek Trl Clio MI 48420-2037 Ph: (810) 210-4960 | Successful Adults In Transition Pllc 2321 Stonebridge Dr Flint MI 48532-5407 Ph: (810) 210-4960 |
| NPI Number | 1265146260 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 01/27/2023 |
| Certification Date | 01/27/2023 |
| Medicare PECOS PAC ID | 8921470238 |
|---|---|
| Medicare Enrollment ID | O20230215001355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265146260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Cindy Lancaster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265886535 PECOS PAC ID: 9739442005 Enrollment ID: I20180419000970 |
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