| On Earth Project | |
|
34441 8 Mile Rd Ste 116 Livonia MI 48152-4013 | |
| (734) 469-0513 | |
| Not Available |
| Full Name | On Earth Project |
|---|---|
| Speciality | Clinic/Center |
| Location | 34441 8 Mile Rd Ste 116, Livonia, Michigan |
| Authorized Official Name and Position | David Morgan (DIRECTOR/COUNSELOR) |
| Authorized Official Contact | 7344690513 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| On Earth Project 34441 8 Mile Rd Ste 116 Livonia MI 48152-4013 Ph: (734) 469-0513 | On Earth Project 34441 8 Mile Rd Ste 116 Livonia MI 48152-4013 Ph: (734) 469-0513 |
| NPI Number | 1154892784 |
|---|---|
| Provider Enumeration Date | 12/07/2018 |
| Last Update Date | 07/10/2023 |
| Certification Date | 04/19/2021 |
| Medicare PECOS PAC ID | 2860850237 |
|---|---|
| Medicare Enrollment ID | O20230615003343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154892784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Hollis M Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912911140 PECOS PAC ID: 7517965718 Enrollment ID: I20061127000038 |
| Provider Name | Emily Engler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457702979 PECOS PAC ID: 2769885177 Enrollment ID: I20210722002614 |
| Provider Name | Yvonne Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831475680 PECOS PAC ID: 9537517800 Enrollment ID: I20231127002340 |
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