Time To Thrive Counseling Agency, Llc | |
1904 North Blvd Cadillac MI 49601-9100 | |
(231) 884-0786 | |
Not Available |
Full Name | Time To Thrive Counseling Agency, Llc |
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Speciality | Social Worker |
Location | 1904 North Blvd, Cadillac, Michigan |
Authorized Official Name and Position | Sallie L Thomas (OWNER/OPERATOR) |
Authorized Official Contact | 8448840786 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Time To Thrive Counseling Agency, Llc 1904 North Blvd Cadillac MI 49601-9100 Ph: (231) 884-0786 | Time To Thrive Counseling Agency, Llc 1904 North Blvd Cadillac MI 49601-9100 Ph: (231) 884-0786 |
NPI Number | 1104387984 |
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Provider Enumeration Date | 03/26/2019 |
Last Update Date | 03/26/2019 |
Medicare PECOS PAC ID | 7416386859 |
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Medicare Enrollment ID | O20200406001103 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104387984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Sallie Thomas |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1104200369 PECOS PAC ID: 8325477763 Enrollment ID: I20200406001179 |
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