Mrs Nicole R F Merchant, MA LPC | |
103 S Fourth St, Sturgis, MI 49091 | |
(269) 651-3902 | |
(269) 659-4874 |
Full Name | Mrs Nicole R F Merchant |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 103 S Fourth St, Sturgis, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184727570 | NPI | - | NPPES |
6268808 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401006791 (Michigan) | Primary |
Entity Name | Illume Wellness Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942978572 PECOS PAC ID: 4880088210 Enrollment ID: O20220301002605 |
Mailing Address | Practice Location Address |
---|---|
Mrs Nicole R F Merchant, MA LPC 103 S Fourth St, Sturgis, MI 49091 Ph: (269) 651-3902 | Mrs Nicole R F Merchant, MA LPC 103 S Fourth St, Sturgis, MI 49091 Ph: (269) 651-3902 |
Roopa Singh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1555 E Chicago Rd Ste A, Sturgis, MI 49091 Phone: 269-467-1000 | |
Mr. James Hunter Raiford, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 S 4th Ave, Sturgis, MI 49091 Phone: 269-651-3902 Fax: 269-659-4874 | |
Ms. Ann Causey Perra, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 S Fourth St, Sturgis, MI 49083 Phone: 269-651-3902 Fax: 269-659-4874 | |
Robert J Mahoney, BA BVNUS CACII ARMSI Counselor Medicare: Not Enrolled in Medicare Practice Location: 70050 M 66, Sturgis, MI 49091 Phone: 269-651-1212 Fax: 269-659-8472 | |
Kristin Fox-klingensmith, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1361 E Merribe St, Sturgis, MI 49091 Phone: 517-300-7859 | |
Stacy Lynn Dubois, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1904 E Chicago Rd, Sturgis, MI 49091 Phone: 269-254-6542 |