| Thriving Enhanced Services | |
|
751 Harrison St Inkster MI 48141-1170 | |
| (248) 567-2625 | |
| Not Available |
| Full Name | Thriving Enhanced Services |
|---|---|
| Speciality | Social Worker |
| Location | 751 Harrison St, Inkster, Michigan |
| Authorized Official Name and Position | Justin T Gillespie (OWNER/THERAPIST) |
| Authorized Official Contact | 2485672625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thriving Enhanced Services 751 Harrison St Inkster MI 48141-1170 Ph: () - | Thriving Enhanced Services 751 Harrison St Inkster MI 48141-1170 Ph: (248) 567-2625 |
| NPI Number | 1962123711 |
|---|---|
| Provider Enumeration Date | 09/09/2022 |
| Last Update Date | 09/09/2022 |
| Certification Date | 09/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962123711 | NPI | - | NPPES |
| F34831117 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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