| Sunburst Integrative Therapy & Wellness Pllc | |
|
2534 Ashwood Ct Se Ada MI 49301-9210 | |
| (616) 560-5475 | |
| Not Available |
| Full Name | Sunburst Integrative Therapy & Wellness Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2534 Ashwood Ct Se, Ada, Michigan |
| Authorized Official Name and Position | Amy Kirsten Parks-williams (OWNER/MEMBER) |
| Authorized Official Contact | 6165605475 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunburst Integrative Therapy & Wellness Pllc 2534 Ashwood Ct Se Ada MI 49301-9210 Ph: (616) 560-5475 | Sunburst Integrative Therapy & Wellness Pllc 2534 Ashwood Ct Se Ada MI 49301-9210 Ph: (616) 560-5475 |
| NPI Number | 1366064065 |
|---|---|
| Provider Enumeration Date | 05/15/2020 |
| Last Update Date | 05/15/2020 |
| Certification Date | 05/15/2020 |
| Medicare PECOS PAC ID | 7012333768 |
|---|---|
| Medicare Enrollment ID | O20200812002780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366064065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Amy K Parks Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437400637 PECOS PAC ID: 9436301421 Enrollment ID: I20121221000222 |
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