| Vicki Palmer Llc | |
|
23332 Orchard Lake Rd Ste C Farmington Hills MI 48336-3280 | |
| (248) 910-5364 | |
| Not Available |
| Full Name | Vicki Palmer Llc |
|---|---|
| Speciality | Counselor |
| Location | 23332 Orchard Lake Rd Ste C, Farmington Hills, Michigan |
| Authorized Official Name and Position | Vicki Palmer (OWNER) |
| Authorized Official Contact | 2489105364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vicki Palmer Llc 23332 Orchard Lake Rd Ste C Farmington Hills MI 48336-3280 Ph: (248) 910-5364 | Vicki Palmer Llc 23332 Orchard Lake Rd Ste C Farmington Hills MI 48336-3280 Ph: (248) 910-5364 |
| NPI Number | 1558123778 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Medicare PECOS PAC ID | 8729526041 |
|---|---|
| Medicare Enrollment ID | O20240819001477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558123778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Vicki A Palmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316302920 PECOS PAC ID: 2365980687 Enrollment ID: I20240819001487 |
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