Transcending Hope Institute Llc | |
3728 Katherine St Dearborn MI 48124-3650 | |
(313) 334-1387 | |
Not Available |
Full Name | Transcending Hope Institute Llc |
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Speciality | Clinic/Center |
Location | 3728 Katherine St, Dearborn, Michigan |
Authorized Official Name and Position | Jennifer Lewis (PRESIDENT/CEO) |
Authorized Official Contact | 3133341387 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Transcending Hope Institute Llc 3728 Katherine St Dearborn MI 48124-3650 Ph: (313) 334-1387 | Transcending Hope Institute Llc 3728 Katherine St Dearborn MI 48124-3650 Ph: (313) 334-1387 |
NPI Number | 1396367694 |
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Provider Enumeration Date | 05/11/2020 |
Last Update Date | 05/11/2020 |
Certification Date | 05/11/2020 |
Medicare PECOS PAC ID | 3971914441 |
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Medicare Enrollment ID | O20201204002498 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396367694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Jennifer L Lewis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1215052444 PECOS PAC ID: 4688985047 Enrollment ID: I20150625002147 |
Provider Name | Shell Freeman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093199713 PECOS PAC ID: 2163840992 Enrollment ID: I20200910003128 |
Provider Name | Ericka Magee |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1104468255 PECOS PAC ID: 2860851953 Enrollment ID: I20230707001346 |
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