Roberto Overton, LPC | |
870 Colfax Avenue, Benton Harbor, MI 49022-4843 | |
(269) 605-1277 | |
(269) 925-6370 |
Full Name | Roberto Overton |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 870 Colfax Avenue, Benton Harbor, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992119341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 6401010310 (Michigan) | Primary |
Entity Name | Intercare Community Health Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326058512 PECOS PAC ID: 9537061254 Enrollment ID: O20040223000150 |
Mailing Address | Practice Location Address |
---|---|
Roberto Overton, LPC 50 Industrial Park Rd, Bangor, MI 49013-1246 Ph: (269) 427-7937 | Roberto Overton, LPC 870 Colfax Avenue, Benton Harbor, MI 49022-4843 Ph: (269) 605-1277 |
Ms. Theresa Louise Britton, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 777 Riverview Dr, Benton Harbor, MI 49022 Phone: 269-369-8113 | |
Jacqueline R Bonardi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1485 M 139, Benton Harbor, MI 49022 Phone: 269-925-0585 Fax: 269-927-1326 | |
Mrs. Diane Kopp, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1850 Colfax Ave, Benton Harbor, MI 49022 Phone: 269-926-6199 Fax: 269-926-6780 | |
Michael James Fillmore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 497 Waukonda Ave, Benton Harbor, MI 49022 Phone: 269-926-1284 | |
Mrs. Shannon Trecartin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1850 Colfax Ave, Benton Harbor, MI 49022 Phone: 269-926-6199 Fax: 269-926-6780 | |
Susan Myung-sun Kwon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1485 South M-139, Benton Harbor, MI 49022 Phone: 269-925-0585 Fax: 269-925-0070 | |
Patrick K Hanlin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 M- 139, Benton Harbor, MI 49022 Phone: 269-927-5400 Fax: 269-934-9146 |