Elizabeth Porter, | |
8072 21 Mile Rd, Shelby Township, MI 48317-4310 | |
(586) 932-2700 | |
(586) 932-2705 |
Full Name | Elizabeth Porter |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 8072 21 Mile Rd, Shelby Township, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922496702 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YS0200X | Counselor - School | SC0000622 (Michigan) | Secondary |
101Y00000X | Counselor | 6401010305 (Michigan) | Primary |
Entity Name | Lakeside Professional Counseling Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073084083 PECOS PAC ID: 8729483078 Enrollment ID: O20210824003131 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Porter, 8072 21 Mile Rd, Shelby Township, MI 48317-4310 Ph: (586) 932-2700 | Elizabeth Porter, 8072 21 Mile Rd, Shelby Township, MI 48317-4310 Ph: (586) 932-2700 |
Ms. Ciara Braun, Counselor Medicare: Not Enrolled in Medicare Practice Location: 50505 Schoenherr Rd, Suite 270, Shelby Township, MI 48315 Phone: 586-263-1234 | |
Mr. Matthew Christopher Orlando, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 52188 Van Dyke Ave Ste 300, Shelby Township, MI 48316 Phone: 734-726-9434 Fax: 586-254-3312 | |
Cyd Charisse Grace, MA,LLPC,LBSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 45660 Schoenherr Rd Ste A, Shelby Township, MI 48315 Phone: 586-566-3020 Fax: 586-566-3055 | |
Jennifer M. Schultz-price, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7031 Yorktown Ln, Shelby Township, MI 48317 Phone: 586-255-7855 | |
Erica Chavez, LPC Counselor Medicare: Medicare Enrolled Practice Location: 48465 Van Dyke Ave Ste A, Shelby Township, MI 48317 Phone: 586-243-7175 | |
Mrs. Cynthia Ann Kozak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 46413 Spruce Dr, Shelby Township, MI 48315 Phone: 586-991-0639 | |
Joanne Malseed, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 52188 Van Dyke Ave Ste 319, Shelby Township, MI 48316 Phone: 586-262-9503 |