Genovia Peterson, LPC is a
Counselor based in Superior Township, Michigan. Genovia Peterson is licensed to practice in Michigan (license number 6401222328) and her current practice location is
1713 Weeping Willow Ct, Superior Township, Michigan. She can be reached at her office (for appointments etc.) via phone at
(734) 678-9509.
NPI number for Genovia Peterson is 1710740725 and her current mailing address is 1713 Weeping Willow Ct, Superior Township, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710740725.
Healthcare Provider's Profile
Full Name | Genovia Peterson |
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Gender | Female |
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Speciality | Counselor |
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Location | 1713 Weeping Willow Ct, Superior Township, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710740725
- Provider Enumeration Date: 02/01/2024
- Last Update Date: 02/01/2024
Medical Identifiers
Medical identifiers for Genovia Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710740725 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 6401222328 (Michigan) | Secondary |
101Y00000X | Counselor | 6401222328 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Genovia Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Genovia Peterson, LPC 1713 Weeping Willow Ct, Superior Township, MI 48198-1327 Ph: (734) 678-9509 | Genovia Peterson, LPC 1713 Weeping Willow Ct, Superior Township, MI 48198-1327 Ph: (734) 678-9509 |
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