| The Made Institute | |
|
503 Garland St Flint MI 48503-2523 | |
| (810) 835-8304 | |
| Not Available |
| Full Name | The Made Institute |
|---|---|
| Speciality | Counselor |
| Location | 503 Garland St, Flint, Michigan |
| Authorized Official Name and Position | Hossam Shukairy (AGENT/CREDENTIALING) |
| Authorized Official Contact | 8106917738 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Made Institute 503 Garland St Flint MI 48503-2523 Ph: (810) 835-8304 | The Made Institute 503 Garland St Flint MI 48503-2523 Ph: (810) 835-8304 |
| NPI Number | 1538768213 |
|---|---|
| Provider Enumeration Date | 10/22/2020 |
| Last Update Date | 10/22/2020 |
| Certification Date | 10/22/2020 |
| Medicare PECOS PAC ID | 8527478189 |
|---|---|
| Medicare Enrollment ID | O20201110002160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538768213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Tauheed Hasan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376751362 PECOS PAC ID: 6709298763 Enrollment ID: I20240323000288 |
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