Keyla Mitchell, | |
375 Apple Tree Dr, Ionia, MI 48846-7506 | |
(616) 527-1790 | |
Not Available |
Full Name | Keyla Mitchell |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 375 Apple Tree Dr, Ionia, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295347128 | NPI | - | NPPES |
1715928 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401018546 (Michigan) | Secondary |
101YP2500X | Counselor - Professional | 6401222957 (Michigan) | Primary |
Entity Name | Ionia County Community Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760452122 PECOS PAC ID: 4880598325 Enrollment ID: O20050322000808 |
Mailing Address | Practice Location Address |
---|---|
Keyla Mitchell, 375 Apple Tree Dr, Ionia, MI 48846-7506 Ph: () - | Keyla Mitchell, 375 Apple Tree Dr, Ionia, MI 48846-7506 Ph: (616) 527-1790 |
Erin Jeltema, M.A, C.A.D.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 W Main St, Ionia, MI 48846 Phone: 616-522-0687 | |
Pauline Michelle Kenyon, M.A. LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 524 W Main St, Ionia, MI 48846 Phone: 269-908-6090 | |
Ryan Davis, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 375 Apple Tree Dr, Ionia, MI 48846 Phone: 616-527-1790 | |
Jessica Lyn Schreuder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 375 Apple Tree Dr, Ionia, MI 48846 Phone: 616-527-1790 | |
Kyle Alan Ford, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 W Main St, Ionia, MI 48846 Phone: 616-287-2503 | |
Christopher Martin Vanstee, MA,TLLP, LBSW, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 W. Main St., Ionia, MI 48846 Phone: 616-522-0687 Fax: 616-522-0725 |