| Therapeutic Resolutions, Llc | |
|
725 Ariebill St Sw Wyoming MI 49509-4073 | |
| (616) 272-2489 | |
| Not Available |
| Full Name | Therapeutic Resolutions, Llc |
|---|---|
| Speciality | Counselor |
| Location | 725 Ariebill St Sw, Wyoming, Michigan |
| Authorized Official Name and Position | Tracy K Davis (CLINICAL THERAPIST) |
| Authorized Official Contact | 6162722489 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Resolutions, Llc 725 Ariebill St Sw Wyoming MI 49509-4073 Ph: (616) 272-2489 | Therapeutic Resolutions, Llc 725 Ariebill St Sw Wyoming MI 49509-4073 Ph: (616) 272-2489 |
| NPI Number | 1821844960 |
|---|---|
| Provider Enumeration Date | 04/29/2024 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Medicare PECOS PAC ID | 1850823048 |
|---|---|
| Medicare Enrollment ID | O20241012000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821844960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tracy K Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962894956 PECOS PAC ID: 2961936950 Enrollment ID: I20241114000114 |
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