| Trauma And Mood Recovery Center Llc | |
|
6855 Junction Rd Bridgeport MI 48722-9776 | |
| (989) 482-1996 | |
| Not Available |
| Full Name | Trauma And Mood Recovery Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6855 Junction Rd, Bridgeport, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trauma And Mood Recovery Center Llc 5 Wickson Ct Frankenmuth MI 48734-1142 Ph: () - | Trauma And Mood Recovery Center Llc 6855 Junction Rd Bridgeport MI 48722-9776 Ph: (989) 482-1996 |
| NPI Number | 1932869591 |
|---|---|
| Provider Enumeration Date | 12/23/2021 |
| Last Update Date | 01/06/2022 |
| Certification Date | 01/06/2022 |
| Medicare PECOS PAC ID | 7012308752 |
|---|---|
| Medicare Enrollment ID | O20220106001778 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932869591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Anne Wininger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356529580 PECOS PAC ID: 4880018605 Enrollment ID: I20200727000133 |
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