| Therapy For Your Spirit Llc | |
|
4131 Okemos Rd Ste 9&10 Okemos MI 48864-2823 | |
| (517) 775-9697 | |
| Not Available |
| Full Name | Therapy For Your Spirit Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4131 Okemos Rd Ste 9&10, Okemos, Michigan |
| Authorized Official Name and Position | Marybeth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy For Your Spirit Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Therapy For Your Spirit Llc 4131 Okemos Rd Ste 9&10 Okemos MI 48864-2823 Ph: (517) 775-9697 |
| NPI Number | 1275103764 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 06/28/2021 |
| Certification Date | 06/28/2021 |
| Medicare PECOS PAC ID | 9739582586 |
|---|---|
| Medicare Enrollment ID | O20210730001725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275103764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Kimberly Zeiger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770033441 PECOS PAC ID: 1658606306 Enrollment ID: I20190717002059 |
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