| The Resiliency Therapy Center | |
|
3301 Veterans Dr Ste 106 Traverse City MI 49684-4592 | |
| (231) 525-3085 | |
| Not Available |
| Full Name | The Resiliency Therapy Center |
|---|---|
| Speciality | Social Worker |
| Location | 3301 Veterans Dr Ste 106, Traverse City, Michigan |
| Authorized Official Name and Position | Ashley R Dunham-smith (OWNER) |
| Authorized Official Contact | 2315253085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Resiliency Therapy Center 3301 Veterans Dr Ste 106 Traverse City MI 49684-4592 Ph: (231) 525-3085 | The Resiliency Therapy Center 3301 Veterans Dr Ste 106 Traverse City MI 49684-4592 Ph: (231) 525-3085 |
| NPI Number | 1497395917 |
|---|---|
| Provider Enumeration Date | 01/13/2020 |
| Last Update Date | 02/17/2022 |
| Certification Date | 02/17/2022 |
| Medicare PECOS PAC ID | 1254742638 |
|---|---|
| Medicare Enrollment ID | O20201117000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497395917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ashley R Dunham-smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982189304 PECOS PAC ID: 8426388240 Enrollment ID: I20201117001049 |
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