Courtney Grant, | |
114 W Elliott St, Saint Ignace, MI 49781-1868 | |
(906) 643-8616 | |
Not Available |
Full Name | Courtney Grant |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 114 W Elliott St, Saint Ignace, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275771065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801086347 (Michigan) | Primary |
Entity Name | Hiawatha Community Behavioral Health Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629161567 PECOS PAC ID: 3870509490 Enrollment ID: O20060306000454 |
Mailing Address | Practice Location Address |
---|---|
Courtney Grant, 125 N Lake St, Manistique, MI 49854-1234 Ph: () - | Courtney Grant, 114 W Elliott St, Saint Ignace, MI 49781-1868 Ph: (906) 643-8616 |
Charlene Stier, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 248 Ferry Ln, Saint Ignace, MI 49781 Phone: 810-392-2167 Fax: 810-392-3530 | |
Dorene Lois Mathews, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 799 Hombach St, Saint Ignace, MI 49781 Phone: 906-984-2300 | |
Beverly S. Osborne, MSW,ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 799 Hombach St, Saint Ignace, MI 49781 Phone: 906-643-9150 | |
Christina Burlak, LLMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1140 N State St, Saint Ignace, MI 49781 Phone: 906-643-8689 | |
Mrs. Stephanie June Soblaskey, LMSW CSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 135 Bertrand St, Saint Ignace, MI 49781 Phone: 906-643-1592 | |
Holly Engle, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 114 W Elliott St, Saint Ignace, MI 49781 Phone: 906-643-2105 Fax: 906-643-7194 |