| Thrive Therapy & Wellness, Pc | |
|
121 N Mitchell St Cadillac MI 49601-1879 | |
| (989) 202-2803 | |
| Not Available |
| Full Name | Thrive Therapy & Wellness, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 121 N Mitchell St, Cadillac, Michigan |
| Authorized Official Name and Position | Colette Irene Gomez (OWNER) |
| Authorized Official Contact | 9892022803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Therapy & Wellness, Pc Po Box 595 Cadillac MI 49601-0595 Ph: () - | Thrive Therapy & Wellness, Pc 121 N Mitchell St Cadillac MI 49601-1879 Ph: (989) 202-2803 |
| NPI Number | 1356013783 |
|---|---|
| Provider Enumeration Date | 10/04/2021 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Medicare PECOS PAC ID | 9234516980 |
|---|---|
| Medicare Enrollment ID | O20220518001097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356013783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Colette Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265881064 PECOS PAC ID: 5698165447 Enrollment ID: I20211209001499 |
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