Organization
THALIA FERENC LLC
Active
Other names
Thalia Ferenc LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THALIA M FERENC LMSW (PSYCHOTHERAPIST)
(231) 838-2322
Entity
Organization
Contact information
Practice address
6127 BAY SHORE WEST DR, CHARLEVOIX, MI 49720-9173
(231) 838-2322
(231) 622-8126
Mailing address
6127 BAY SHORE WEST DR, CHARLEVOIX, MI 49720-9173
(231) 838-3222
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900032412
PRIORITY HEALTH
MI
01
—
CV0081377
SIGMA-VSS
MI
01
—
MI2873
BCBSM
MI
Enumeration date
01/20/2019
Last updated
01/20/2019
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