Tt Counseling Services Llc | |
10524 Grand River Rd Ste 107c Brighton MI 48116-9559 | |
(248) 219-0937 | |
Not Available |
Full Name | Tt Counseling Services Llc |
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Speciality | Social Worker |
Location | 10524 Grand River Rd Ste 107c, Brighton, Michigan |
Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
Authorized Official Contact | 5176769797 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tt Counseling Services Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Tt Counseling Services Llc 10524 Grand River Rd Ste 107c Brighton MI 48116-9559 Ph: (248) 219-0937 |
NPI Number | 1568189777 |
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Provider Enumeration Date | 10/27/2022 |
Last Update Date | 11/15/2022 |
Certification Date | 11/15/2022 |
Medicare PECOS PAC ID | 9133597677 |
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Medicare Enrollment ID | O20221115001109 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568189777 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Tracy Lynn Turpin Mogelnicki |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760984660 PECOS PAC ID: 6709133846 Enrollment ID: I20180720001759 |
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