Mrs Olivia Van Der Leij, LLPC | |
5100 Eastman Ave, Suite 2, Midland, MI 48640-6793 | |
(989) 631-4092 | |
Not Available |
Full Name | Mrs Olivia Van Der Leij |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 5100 Eastman Ave, Midland, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134881014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401009597 (Michigan) | Secondary |
101YP2500X | Counselor - Professional | 6451009597 (Michigan) | Primary |
Entity Name | J&a Counseling And Evaluations Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679723167 PECOS PAC ID: 4284074253 Enrollment ID: O20240425000221 |
Mailing Address | Practice Location Address |
---|---|
Mrs Olivia Van Der Leij, LLPC 5100 Eastman Ave, Suite 2, Midland, MI 48640-6793 Ph: (989) 631-4092 | Mrs Olivia Van Der Leij, LLPC 5100 Eastman Ave, Suite 2, Midland, MI 48640-6793 Ph: (989) 631-4092 |
Kayla Mogg, LLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1714 Eastman Ave, Midland, MI 48640 Phone: 989-631-5390 | |
Carole Calvert-baxter, MA-LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1714 Eastman Ave, Midland, MI 48640 Phone: 989-631-5390 Fax: 989-631-0488 | |
Mrs. Carol Lindley Boothroyd, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1714 Eastman Ave, Midland, MI 48640 Phone: 989-631-5390 Fax: 989-631-0488 | |
Libbee Jo Kelingos, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2528 W Wackerly St, Midland, MI 48640 Phone: 989-832-0191 Fax: 989-486-9413 | |
Mrs. Caroline Barker Giblin, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2528 W Wackerly St, Midland, MI 48640 Phone: 989-859-7633 Fax: 989-486-9413 | |
Mrs. Deanna L. Hodgson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1714 Eastman Ave, Midland, MI 48640 Phone: 989-631-5390 | |
Dr. Lisa Marie Mcilvenna, DMIN Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 W Larkin St, Midland, MI 48640 Phone: 989-835-7511 Fax: 898-357-5112 |