Lisa Ann Drake, | |
424 E Main St, Boyne City, MI 49712-1310 | |
(231) 622-2421 | |
Not Available |
Full Name | Lisa Ann Drake |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 424 E Main St, Boyne City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245650142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YS0200X | Counselor - School | 6401013883 (Michigan) | Secondary |
101YM0800X | Counselor - Mental Health | 6401013883 (* (Not Available)) | Primary |
Entity Name | Guided Grace |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821516840 PECOS PAC ID: 9032473210 Enrollment ID: O20180516001884 |
Mailing Address | Practice Location Address |
---|---|
Lisa Ann Drake, 424 E Main St, Boyne City, MI 49712-1310 Ph: (231) 622-2421 | Lisa Ann Drake, 424 E Main St, Boyne City, MI 49712-1310 Ph: (231) 622-2421 |
Karen Marietti, Counselor Medicare: Not Enrolled in Medicare Practice Location: 930 Brockway St, Boyne City, MI 49712 Phone: 231-439-8242 | |
Kelly Marie Miller, MA, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 W Main St Unit 3, Boyne City, MI 49712 Phone: 231-881-5001 Fax: 231-344-6100 | |
Jill Marie Valliere, MA, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 5 W Main St Unit 3, Boyne City, MI 49712 Phone: 231-881-5001 Fax: 231-344-6100 | |
Mr. Malcolm James Wilson Jr., M.A. LPC Counselor Medicare: Medicare Enrolled Practice Location: 312 Mclean St, Boyne City, MI 49712 Phone: 989-600-7035 | |
Mrs. Jennifer Ann Hewitt, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1045 E Main St, Boyne City, MI 49712 Phone: 231-499-8593 | |
Mrs. Sarah Ann Leist, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5675 Church Rd, Boyne City, MI 49712 Phone: 231-622-9640 |