Terra Firma Life Strategies Pllc | |
1513 Columbus Ave Bay City MI 48708-6824 | |
(989) 778-4993 | |
Not Available |
Full Name | Terra Firma Life Strategies Pllc |
---|---|
Speciality | Social Worker |
Location | 1513 Columbus Ave, Bay City, Michigan |
Authorized Official Name and Position | Rosanne Wild (OWNER) |
Authorized Official Contact | 9899928926 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Terra Firma Life Strategies Pllc 1417 Fraser St Bay City MI 48708-7957 Ph: () - | Terra Firma Life Strategies Pllc 1513 Columbus Ave Bay City MI 48708-6824 Ph: (989) 778-4993 |
NPI Number | 1134697113 |
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Provider Enumeration Date | 11/07/2018 |
Last Update Date | 08/28/2024 |
Certification Date | 08/28/2024 |
Medicare PECOS PAC ID | 3072950732 |
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Medicare Enrollment ID | O20240318002870 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134697113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Rosanne Kay Wild |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225129372 PECOS PAC ID: 8022246487 Enrollment ID: I20211101002407 |
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