| Ubuntu Therapy Healing Through Community Inclusion Llc | |
|
821 W South St Ste B Kalamazoo MI 49007-4664 | |
| (269) 205-8566 | |
| (269) 585-5954 |
| Full Name | Ubuntu Therapy Healing Through Community Inclusion Llc |
|---|---|
| Speciality | Social Worker |
| Location | 821 W South St Ste B, Kalamazoo, Michigan |
| Authorized Official Name and Position | Marybeth 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 |
|---|---|
| Ubuntu Therapy Healing Through Community Inclusion Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Ubuntu Therapy Healing Through Community Inclusion Llc 821 W South St Ste B Kalamazoo MI 49007-4664 Ph: (269) 205-8566 |
| NPI Number | 1619563616 |
|---|---|
| Provider Enumeration Date | 12/15/2020 |
| Last Update Date | 12/16/2020 |
| Certification Date | 12/16/2020 |
| Medicare PECOS PAC ID | 5890100432 |
|---|---|
| Medicare Enrollment ID | O20210212001643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619563616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Brandan Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598168932 PECOS PAC ID: 6709291347 Enrollment ID: I20210212001741 |
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