| Lifes Changes Center For Wellness | |
|
2425 S Linden Rd Ste D138 Flint MI 48532-5482 | |
| (810) 252-7994 | |
| Not Available |
| Full Name | Lifes Changes Center For Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 2425 S Linden Rd Ste D138, Flint, Michigan |
| Authorized Official Name and Position | Charles Todd Kennedy (OWNER) |
| Authorized Official Contact | 8102527994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifes Changes Center For Wellness G3100 Miller Rd Apt 19c Flint MI 48507-1323 Ph: (810) 252-7994 | Lifes Changes Center For Wellness 2425 S Linden Rd Ste D138 Flint MI 48532-5482 Ph: (810) 252-7994 |
| NPI Number | 1558096701 |
|---|---|
| Provider Enumeration Date | 07/21/2022 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8224414123 |
|---|---|
| Medicare Enrollment ID | O20220929002934 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558096701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Charles T Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467824425 PECOS PAC ID: 5294064432 Enrollment ID: I20190912002407 |
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