| Verona Therapeutic Services Pllc | |
|
16534 Sherwood Ln Woodhaven MI 48183-1616 | |
| (734) 642-6914 | |
| Not Available |
| Full Name | Verona Therapeutic Services Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 16534 Sherwood Ln, Woodhaven, Michigan |
| Authorized Official Name and Position | Angela Burley (THERAPEUTIC DIRECTOR) |
| Authorized Official Contact | 7346426914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Verona Therapeutic Services Pllc 16534 Sherwood Ln Woodhaven MI 48183-1616 Ph: (734) 642-6914 | Verona Therapeutic Services Pllc 16534 Sherwood Ln Woodhaven MI 48183-1616 Ph: (734) 642-6914 |
| NPI Number | 1295468148 |
|---|---|
| Provider Enumeration Date | 07/07/2022 |
| Last Update Date | 07/11/2022 |
| Certification Date | 07/11/2022 |
| Medicare PECOS PAC ID | 7911363585 |
|---|---|
| Medicare Enrollment ID | O20230524001522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295468148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Angela Burley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861126567 PECOS PAC ID: 8820454499 Enrollment ID: I20230524001571 |
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