| Susan M Hoffman Lmsw Llc | |
|
231 State St Ste 5 Petoskey MI 49770-2785 | |
| (231) 881-3970 | |
| (231) 753-2387 |
| Full Name | Susan M Hoffman Lmsw Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 231 State St Ste 5, Petoskey, Michigan |
| Authorized Official Name and Position | Susan Mary Hoffman (OWNER/CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2318813970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan M Hoffman Lmsw Llc 231 State St Ste 5 Petoskey MI 49770-2785 Ph: (231) 881-3970 | Susan M Hoffman Lmsw Llc 231 State St Ste 5 Petoskey MI 49770-2785 Ph: (231) 881-3970 |
| NPI Number | 1225664790 |
|---|---|
| Provider Enumeration Date | 03/17/2020 |
| Last Update Date | 03/17/2020 |
| Certification Date | 03/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225664790 | NPI | - | NPPES |
| 1538475108 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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