| Total Wellness Therapeutics, Llc | |
|
22332 Gregory St Dearborn MI 48124-2752 | |
| (734) 680-6972 | |
| Not Available |
| Full Name | Total Wellness Therapeutics, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 22332 Gregory St, Dearborn, Michigan |
| Authorized Official Name and Position | Amanda Ruth Danysh (OWNER-CLINICAL THERAPIST) |
| Authorized Official Contact | 7346806972 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Wellness Therapeutics, Llc 22332 Gregory St Dearborn MI 48124-2752 Ph: (734) 680-6972 | Total Wellness Therapeutics, Llc 22332 Gregory St Dearborn MI 48124-2752 Ph: (734) 680-6972 |
| NPI Number | 1578276150 |
|---|---|
| Provider Enumeration Date | 12/28/2022 |
| Last Update Date | 04/13/2023 |
| Certification Date | 04/13/2023 |
| Medicare PECOS PAC ID | 7911362272 |
|---|---|
| Medicare Enrollment ID | O20230420002765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578276150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amanda Ruth Danysh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598331928 PECOS PAC ID: 8527460468 Enrollment ID: I20210714001932 |
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