Mr Anthony Severous Muller Ii, MA, LLPC CAC-II | |
2080 Union Ave Se Ste A, Grand Rapids, MI 49507-3247 | |
(616) 516-9985 | |
Not Available |
Full Name | Mr Anthony Severous Muller Ii |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 2080 Union Ave Se Ste A, Grand Rapids, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013130723 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 6401007822 (Michigan) | Secondary |
101YM0800X | Counselor - Mental Health | 6401007822 (Michigan) | Primary |
Entity Name | Samaritas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972860005 PECOS PAC ID: 6305992421 Enrollment ID: O20210324001690 |
Mailing Address | Practice Location Address |
---|---|
Mr Anthony Severous Muller Ii, MA, LLPC CAC-II 2139 Belmont Farms Cir Ne, Belmont, MI 49306-8902 Ph: (616) 516-9985 | Mr Anthony Severous Muller Ii, MA, LLPC CAC-II 2080 Union Ave Se Ste A, Grand Rapids, MI 49507-3247 Ph: (616) 516-9985 |
Mrs. Dana Kay Anderson, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Eastern Ave Ne, Grand Rapids, MI 49503 Phone: 616-254-7741 Fax: 616-254-7750 | |
Marilyn Dale, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5005 Plainfield Ave Ne Ste 100, Grand Rapids, MI 49525 Phone: 616-279-3869 Fax: 616-608-4657 | |
Brittani Shaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Eastern Ave Ne, Grand Rapids, MI 49503 Phone: 616-818-4803 Fax: 616-710-5176 | |
Tao Chance Brown-edwards, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-455-5000 | |
Lauren Marie Snoeyink, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1295 68th St Se, Grand Rapids, MI 49508 Phone: 616-970-3724 | |
Amanda Joy Rewa, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Trowbridge St Ne Apt 208, Grand Rapids, MI 49503 Phone: 231-755-8284 | |
Mrs. Marian Evelyn Lilly, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-356-6247 Fax: 616-732-6392 |