Olivia Campbell, LPC | |
3424 Chicago Dr, Hudsonville, MI 49426-1408 | |
(616) 426-9034 | |
Not Available |
Full Name | Olivia Campbell |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 3424 Chicago Dr, Hudsonville, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457015745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401020321 (Michigan) | Primary |
Entity Name | Second Story Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013460716 PECOS PAC ID: 9931468295 Enrollment ID: O20180111001523 |
Entity Name | Second Story Counseling Ii Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013460716 PECOS PAC ID: 6204292063 Enrollment ID: O20230520000165 |
Mailing Address | Practice Location Address |
---|---|
Olivia Campbell, LPC 78 E 22nd St, Holland, MI 49423-4812 Ph: (517) 862-4539 | Olivia Campbell, LPC 3424 Chicago Dr, Hudsonville, MI 49426-1408 Ph: (616) 426-9034 |
Nick Vanzalen, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3424 Chicago Dr Ste 205, Hudsonville, MI 49426 Phone: 616-426-9034 | |
Kau Zong Yang, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3424 Chicago Dr Ste 205, Hudsonville, MI 49426 Phone: 616-426-9034 | |
Sara L. Hoekstra, LLPC Counselor Medicare: Medicare Enrolled Practice Location: 3424 Chicago Dr Ste 205, Hudsonville, MI 49426 Phone: 616-426-9034 | |
Mr. William Edward Robinson, M.DIV, MA Counselor Medicare: Medicare Enrolled Practice Location: 3424 Chicago Dr, Hudsonville, MI 49426 Phone: 616-426-9034 Fax: 616-404-4103 | |
Katie Peterson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3424 Chicago Dr Ste 205, Hudsonville, MI 49426 Phone: 616-426-9034 Fax: 616-404-4103 | |
Mrs. Lizabeth Ann Huber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3424 Chicago Dr, Hudsonville, MI 49426 Phone: 616-426-9034 | |
Dan N Wright, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3424 Chicago Dr, Hudsonville, MI 49426 Phone: 616-426-9034 |