Your Time Behavioral & Mental Health Llc | |
8702 Wandering Way Freeland MI 48623-9557 | |
(989) 999-8463 | |
(989) 266-1440 |
Full Name | Your Time Behavioral & Mental Health Llc |
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Speciality | Social Worker |
Location | 8702 Wandering Way, Freeland, Michigan |
Authorized Official Name and Position | Carrie Y Dudley (MANAGING MEMBER) |
Authorized Official Contact | 9899998463 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Your Time Behavioral & Mental Health Llc Po Box 210 Freeland MI 48623-0210 Ph: (989) 999-8463 | Your Time Behavioral & Mental Health Llc 8702 Wandering Way Freeland MI 48623-9557 Ph: (989) 999-8463 |
NPI Number | 1669179545 |
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Provider Enumeration Date | 02/13/2023 |
Last Update Date | 11/08/2024 |
Certification Date | 11/08/2024 |
Medicare PECOS PAC ID | 6002272895 |
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Medicare Enrollment ID | O20230522000743 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669179545 | NPI | - | NPPES |
Provider Name | Trisha C Bryan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174679294 PECOS PAC ID: 0941393615 Enrollment ID: I20070911000738 |
Provider Name | Tim D Davis |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1154670735 PECOS PAC ID: 9234587023 Enrollment ID: I20231205001686 |
Provider Name | Carrie Y Dudley |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1477228302 PECOS PAC ID: 4587054242 Enrollment ID: I20231212001976 |
Provider Name | Melissa Ann Sweet |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1447614128 PECOS PAC ID: 8729425467 Enrollment ID: I20240318001986 |
Provider Name | Maggie Hodge |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1306220017 PECOS PAC ID: 2769872431 Enrollment ID: I20240426000432 |
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