MEDICARE: TERRA FIRMA LIFE STRATEGIES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1134697113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TERRA FIRMA LIFE STRATEGIES PLLC

Provider Business Mailing Address
First Line	:	1417 FRASER ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-7957
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1513 COLUMBUS AVE
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-6824
Country	:	US
Telephone Number	:	989-778-4993
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROSANNE WILD
Credential	:
Telephone Number	:	989-992-8926

Provider Enumeration Date	:	11/07/2018
Last Update Date	:	08/28/2024

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