| Nicole Sobh Therapy Llc | |
|
330 S Lafayette St Dearborn MI 48124-1316 | |
| (313) 969-3705 | |
| Not Available |
| Full Name | Nicole Sobh Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 330 S Lafayette St, Dearborn, Michigan |
| Authorized Official Name and Position | Nicole Marie Sobh (SOCIAL WORKER) |
| Authorized Official Contact | 3139693705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Sobh Therapy Llc 330 S Lafayette St Dearborn MI 48124-1316 Ph: (734) 655-0051 | Nicole Sobh Therapy Llc 330 S Lafayette St Dearborn MI 48124-1316 Ph: (313) 969-3705 |
| NPI Number | 1447904289 |
|---|---|
| Provider Enumeration Date | 02/10/2022 |
| Last Update Date | 04/19/2025 |
| Certification Date | 04/19/2025 |
| Medicare PECOS PAC ID | 0648666115 |
|---|---|
| Medicare Enrollment ID | O20220408002132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447904289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Nicole M Sobh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912102740 PECOS PAC ID: 7113153008 Enrollment ID: I20131125000620 |
| Provider Name | Jill Josey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760703698 PECOS PAC ID: 9335586684 Enrollment ID: I20240321002344 |
| Provider Name | Wanda Massey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013763242 PECOS PAC ID: 5698211944 Enrollment ID: I20240723000629 |
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