The Well Being Llc | |
540 Leonard St Nw Ste G Grand Rapids MI 49504-4260 | |
(616) 458-6870 | |
(616) 458-6874 |
Full Name | The Well Being Llc |
---|---|
Speciality | Social Worker |
Location | 540 Leonard St Nw Ste G, Grand Rapids, Michigan |
Authorized Official Name and Position | Timothy J Pieri (PARTNER) |
Authorized Official Contact | 6164586870 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Well Being Llc 540 Leonard St Nw Ste G Grand Rapids MI 49504-4260 Ph: (616) 458-6870 | The Well Being Llc 540 Leonard St Nw Ste G Grand Rapids MI 49504-4260 Ph: (616) 458-6870 |
NPI Number | 1225336175 |
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Provider Enumeration Date | 03/02/2011 |
Last Update Date | 09/25/2020 |
Certification Date | 09/25/2020 |
Medicare PECOS PAC ID | 7214106764 |
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Medicare Enrollment ID | O20110817000899 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225336175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Michele Seasly |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144356569 PECOS PAC ID: 2860455805 Enrollment ID: I20041110000449 |
Provider Name | Brendan N Kelly |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225154800 PECOS PAC ID: 2860590114 Enrollment ID: I20070611000009 |
Provider Name | Timothy J Pieri |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053432732 PECOS PAC ID: 3274668413 Enrollment ID: I20100312000986 |
Provider Name | Tanya M Vanderveen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1104193259 PECOS PAC ID: 6507033743 Enrollment ID: I20120111000735 |
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