Dawn Racht, | |
2527 S 11th St Ste 2, Niles, MI 49120-4747 | |
(269) 262-1815 | |
Not Available |
Full Name | Dawn Racht |
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Gender | Female |
Speciality | Counselor |
Location | 2527 S 11th St Ste 2, Niles, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053948919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401018223 (Michigan) | Secondary |
101Y00000X | Counselor | 6401018223 (Michigan) | Primary |
Entity Name | Calm Lake Counseling, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609573740 PECOS PAC ID: 0345684312 Enrollment ID: O20240217000093 |
Mailing Address | Practice Location Address |
---|---|
Dawn Racht, 2527 S 11th St Ste 2, Niles, MI 49120-4747 Ph: (269) 262-1815 | Dawn Racht, 2527 S 11th St Ste 2, Niles, MI 49120-4747 Ph: (269) 262-1815 |
Miss Carolyn Joyce Macomber, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 Broadway St Ste 10, Niles, MI 49120 Phone: 269-485-1505 | |
Melinda Bush, BS CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1225 S 11th St, Niles, MI 49120 Phone: 269-684-7741 Fax: 269-684-3671 | |
Johanna Cushing, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 N Saint Joseph Ave Ste C2, Niles, MI 49120 Phone: 505-913-0000 | |
Mr. Robert Bruce Wagner, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 333 N 2nd St, Suite 305, Niles, MI 49120 Phone: 269-449-8951 | |
Angelica Williams, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 E Main St, Niles, MI 49120 Phone: 269-340-2770 | |
Mrs. Josie Maria Dejong, MA LPC SCL NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1138 Fisk St, Niles, MI 49120 Phone: 269-240-7309 Fax: 269-683-1014 |