Gualdoni Therapeutic & Consultative Services Llc - Medicare Mental Health Clinic in Grand Blanc, MI

Gualdoni Therapeutic & Consultative Services Llc is a medicare enrolled mental health clinic (Social Worker) in Grand Blanc, Michigan. The current practice location for Gualdoni Therapeutic & Consultative Services Llc is 8240 Embury Rd Ste 1, Grand Blanc, Michigan. For appointments, you can reach them via phone at (810) 691-4196. The mailing address for Gualdoni Therapeutic & Consultative Services Llc is Po Box 10, Mason, Michigan and phone number is () -.

Gualdoni Therapeutic & Consultative Services Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1427731967. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (810) 691-4196.

Contact Information

Gualdoni Therapeutic & Consultative Services Llc
8240 Embury Rd Ste 1
Grand Blanc
MI 48439-7113
(810) 691-4196
Not Available

Mental Health Clinic Profile

Full NameGualdoni Therapeutic & Consultative Services Llc
SpecialitySocial Worker
Location8240 Embury Rd Ste 1, Grand Blanc, Michigan
Authorized Official Name and PositionMary Beth Houpt (CREDENTIALING)
Authorized Official Contact5176769797
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gualdoni Therapeutic & Consultative Services Llc
Po Box 10
Mason
MI 48854-0010

Ph: () -
Gualdoni Therapeutic & Consultative Services Llc
8240 Embury Rd Ste 1
Grand Blanc
MI 48439-7113

Ph: (810) 691-4196

NPI Details:

NPI Number1427731967
Provider Enumeration Date08/10/2023
Last Update Date08/10/2023
Certification Date08/10/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1456713635
Medicare Enrollment IDO20230821001422

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Medical Identifiers

Medical identifiers for Gualdoni Therapeutic & Consultative Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427731967NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
104100000XSocial Worker (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Gualdoni Therapeutic & Consultative Services Llc acts as a billing entity for following providers:
Provider NameLaura Kay Gualdoni
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1649822776
PECOS PAC ID: 3274995451
Enrollment ID: I20230821001568

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