Robert Deckert, LPC | |
17214 Van Wagoner Rd, Spring Lake, MI 49456-9702 | |
(616) 405-4188 | |
(616) 935-1288 |
Full Name | Robert Deckert |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 17214 Van Wagoner Rd, Spring Lake, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700134319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | E.2202886 (Ohio) | Secondary |
101YP2500X | Counselor - Professional | 6401009234 (Michigan) | Primary |
Entity Name | Bridgeworks Counseling And Consulting, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033854310 PECOS PAC ID: 8921443961 Enrollment ID: O20240229000438 |
Mailing Address | Practice Location Address |
---|---|
Robert Deckert, LPC 3879 Rhodes Ave # 200, New Boston, OH 45662-6002 Ph: (616) 405-4188 | Robert Deckert, LPC 17214 Van Wagoner Rd, Spring Lake, MI 49456-9702 Ph: (616) 405-4188 |
Mr. Mark E Olsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-296-2130 | |
Mr. Douglas Alan Wilson, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 231-799-8182 Fax: 616-296-2148 | |
Kyle John-arthur Parcher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-296-2130 | |
Leeanna April Peter, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-296-2130 | |
Amanda Vergin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 N Buchanan St, Spring Lake, MI 49456 Phone: 586-924-0125 | |
Dana Leigh Hood, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17214 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 231-670-0663 | |
Ms. Gretchen Lawrence, LPC Counselor Medicare: Medicare Enrolled Practice Location: 109 S Jackson St, Spring Lake, MI 49456 Phone: 616-842-0405 Fax: 616-842-0405 |