Allison Beth Bryan-cortez, LMSW, DP-C | |
125 E Southern Ave, Muskegon, MI 49442-5041 | |
(231) 726-3582 | |
Not Available |
Full Name | Allison Beth Bryan-cortez |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 125 E Southern Ave, Muskegon, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558748905 | NPI | - | NPPES |
1558748905 | Medicaid | MI | |
C-03555 | Other | MI | CAACD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801092650 (Michigan) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 6801092650 (Michigan) | Secondary |
Entity Name | Hackley Life Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912954322 PECOS PAC ID: 8426001967 Enrollment ID: O20050224000794 |
Mailing Address | Practice Location Address |
---|---|
Allison Beth Bryan-cortez, LMSW, DP-C Po Box 1847, Muskegon, MI 49443-1847 Ph: (231) 672-2119 | Allison Beth Bryan-cortez, LMSW, DP-C 125 E Southern Ave, Muskegon, MI 49442-5041 Ph: (231) 726-3582 |
Mr. Thomas Patrick Savard Ii, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1095 3rd St, Muskegon, MI 49441 Phone: 231-726-4735 | |
Cassandra Schieler, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 376 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-7190 | |
Venettie Hines Poston, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1190 E Apple Ave, Muskegon, MI 49442 Phone: 231-740-9566 | |
Margaret Anne Davis, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3925 Heights Ravenna Rd, Muskegon, MI 49444 Phone: 616-334-3643 | |
Mr. Edward Stephen Shier, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 376 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-1111 Fax: 231-724-3659 | |
Elizabeth Alvesteffer, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 376 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-1102 | |
Tammie Monea Richards, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2154 Hudson St, Muskegon, MI 49441 Phone: 231-683-9537 |