Mr Lawrence Joseph Porta, LMHC | |
512 S Union St, Traverse City, MI 49684-3247 | |
(231) 941-6550 | |
(231) 941-8981 |
Full Name | Mr Lawrence Joseph Porta |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 512 S Union St, Traverse 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 |
---|---|---|---|
1568486363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | MH 5902 (Florida) | Secondary |
101YM0800X | Counselor - Mental Health | 6401013035 (Michigan) | Primary |
Entity Name | Thrive Counseling Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210811000247 |
Mailing Address | Practice Location Address |
---|---|
Mr Lawrence Joseph Porta, LMHC 512 S Union St, Traverse City, MI 49684-3247 Ph: (231) 941-6550 | Mr Lawrence Joseph Porta, LMHC 512 S Union St, Traverse City, MI 49684-3247 Ph: (231) 941-6550 |
Kimberly Manrique, M.S, L.P.C., A.T.R Counselor Medicare: Not Enrolled in Medicare Practice Location: 5798 Deer Trail Dr, Traverse City, MI 49684 Phone: 231-709-3177 | |
Joy Davies, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3032 Parterre Pl, Traverse City, MI 49684 Phone: 248-798-3229 | |
Ms. Angela Lynn Merriman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1844 Oak Hollow Dr Ste B, Traverse City, MI 49686 Phone: 231-714-0282 | |
Deanne R Briggs, LPC, CAC III Counselor Medicare: Medicare Enrolled Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-6380 Fax: 231-935-6920 | |
Mrs. Emily Knapp, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7150 Lake Leelanau Dr, Traverse City, MI 49684 Phone: 231-649-2126 | |
Terry Gorton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 E 8th St, Traverse City, MI 49684 Phone: 231-346-5221 Fax: 231-922-2095 | |
Jeanette Fay Peltola, PLC,MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 968 Harbor Ct, Traverse City, MI 49685 Phone: 231-632-1370 |