| Transformative Therapy & Consultation Services | |
|
2929 Covington Ct Lowr Level Lansing MI 48912-4941 | |
| (517) 798-6745 | |
| Not Available |
| Full Name | Transformative Therapy & Consultation Services |
|---|---|
| Speciality | Social Worker |
| Location | 2929 Covington Ct Lowr Level, Lansing, Michigan |
| Authorized Official Name and Position | Parker Terese Curtis (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5175740488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformative Therapy & Consultation Services 2929 Covington Ct Lowr Level Lansing MI 48912-4941 Ph: (517) 798-6745 | Transformative Therapy & Consultation Services 2929 Covington Ct Lowr Level Lansing MI 48912-4941 Ph: (517) 798-6745 |
| NPI Number | 1093338113 |
|---|---|
| Provider Enumeration Date | 05/22/2020 |
| Last Update Date | 10/14/2021 |
| Certification Date | 10/14/2021 |
| Medicare PECOS PAC ID | 5294124145 |
|---|---|
| Medicare Enrollment ID | O20211115001157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093338113 | NPI | - | NPPES |
| Provider Name | Domonika Sharee Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104463462 PECOS PAC ID: 6608273800 Enrollment ID: I20210929003540 |
| Provider Name | Jordan Larsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205372026 PECOS PAC ID: 4688068554 Enrollment ID: I20220218002450 |
| Provider Name | Cassie Flory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548683097 PECOS PAC ID: 9739573478 Enrollment ID: I20220223001947 |
| Provider Name | Jessica M Shapiro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043803075 PECOS PAC ID: 0143666172 Enrollment ID: I20240312002895 |
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