Michael John Wiersma, LPC | |
7791 Byron Center Ave Sw, Byron Center, MI 49315-8412 | |
(800) 453-7733 | |
Not Available |
Full Name | Michael John Wiersma |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 7791 Byron Center Ave Sw, Byron Center, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1265920342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 6401016613 (Michigan) | Primary |
Entity Name | Amplified Life Network, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558713388 PECOS PAC ID: 7214350271 Enrollment ID: O20200709000263 |
Mailing Address | Practice Location Address |
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Michael John Wiersma, LPC 11479 92nd Ave, Allendale, MI 49401-7511 Ph: (616) 214-0356 | Michael John Wiersma, LPC 7791 Byron Center Ave Sw, Byron Center, MI 49315-8412 Ph: (800) 453-7733 |
Lyle L. Labardee, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2411 Byron Station Dr., Sw, Suite 3, Byron Center, MI 49315 Phone: 616-724-6943 | |
Amanda Nicole Walma, MA LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 769 Sun Stone Dr Sw, Byron Center, MI 49315 Phone: 616-307-7509 | |
Michaela Dawn Ayew-ew, LPC, PMH-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 84th St Sw, Byron Center, MI 49315 Phone: 616-222-0631 | |
Kelly Lynn Ibarra, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1239 76th St Sw Ste H4, Byron Center, MI 49315 Phone: 616-780-1243 | |
Mrs. Sharon Wassenar, LPC Counselor Medicare: Medicare Enrolled Practice Location: 325 84th St Sw Ste 103, Byron Center, MI 49315 Phone: 616-805-3660 | |
Brittany Dykstra, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 84th St Sw Ste 102, Byron Center, MI 49315 Phone: 616-805-3660 Fax: 616-805-3631 | |
Ms. Naomi Beth Grimm, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7791 Byron Center Ave Sw, Byron Center, MI 49315 Phone: 616-209-8669 Fax: 888-336-9355 |