Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
GEODES, ANXIETY AND TRAUMA CLINIC, LLC
Active
Organization
GEODES, ANXIETY AND TRAUMA CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LYNETTE BOURLAKAS-MAURER LMSW, CBIS (OWNER, CLINICAL SOCIAL WORKER)
(989) 513-5107
Entity
Organization
Contact information
Practice address
1164 JAMES SAVAGE RD STE E, MIDLAND, MI 48640-6843
(989) 513-5107
(855) 483-9638
Mailing address
1164 JAMES SAVAGE RD STE E, MIDLAND, MI 48640-6843
(989) 513-5107
(855) 483-9638
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801085334
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
730195
—
MI
Enumeration date
07/13/2015
Last updated
08/11/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up