| Targeted Neurofeedback And Psychotherapy Services, Pllc | |
|
915 Airport Rd Jackson MI 49202-1850 | |
| (517) 740-6239 | |
| Not Available |
| Full Name | Targeted Neurofeedback And Psychotherapy Services, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 915 Airport Rd, Jackson, Michigan |
| Authorized Official Name and Position | Eric C Mikelait (OWNER) |
| Authorized Official Contact | 5177406239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Targeted Neurofeedback And Psychotherapy Services, Pllc 3008 S Wooddale Dr Jackson MI 49203-3767 Ph: (517) 740-6239 | Targeted Neurofeedback And Psychotherapy Services, Pllc 915 Airport Rd Jackson MI 49202-1850 Ph: (517) 740-6239 |
| NPI Number | 1578999603 |
|---|---|
| Provider Enumeration Date | 09/20/2013 |
| Last Update Date | 10/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578999603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | E27191 (Michigan) | Primary |
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