| Therapeutic Alliance Llc | |
|
23023 Orchard Lake Rd Farmington MI 48336-3209 | |
| (248) 310-9171 | |
| Not Available |
| Full Name | Therapeutic Alliance Llc |
|---|---|
| Speciality | Social Worker |
| Location | 23023 Orchard Lake Rd, Farmington, Michigan |
| Authorized Official Name and Position | Donna Litinsky (OWNER) |
| Authorized Official Contact | 2483109171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Alliance Llc 23023 Orchard Lake Rd Farmington MI 48336-3209 Ph: (248) 310-9171 | Therapeutic Alliance Llc 23023 Orchard Lake Rd Farmington MI 48336-3209 Ph: (248) 310-9171 |
| NPI Number | 1013757343 |
|---|---|
| Provider Enumeration Date | 05/24/2024 |
| Last Update Date | 05/24/2024 |
| Certification Date | 05/24/2024 |
| Medicare PECOS PAC ID | 8527507367 |
|---|---|
| Medicare Enrollment ID | O20240826001123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013757343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Donna L Litinsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780607143 PECOS PAC ID: 1254336803 Enrollment ID: I20061003000595 |
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