Holistic Drama LLC
NPI 1700380664ActiveOrganization· Marriage & Family Therapist· Plymouth, MI
Marriage & Family Therapist in Plymouth, Michigan, registered in NPPES in March 2018. The authorized official on file is Jenelle Mazaris, LMFT, Clinical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1700380664 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 23, 2018 |
| Last updated in NPPES | Mar 23, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 4101006577 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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