Melissa Portia Fuller, LPC | |
7895 Currier Dr, Portage, MI 49002-4314 | |
(269) 910-7327 | |
Not Available |
Full Name | Melissa Portia Fuller |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 7895 Currier Dr, Portage, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023668076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401014638 (Michigan) | Primary |
101YM0800X | Counselor - Mental Health | 6401014638 (Michigan) | Secondary |
Entity Name | Pine Rest Christian Mental Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780695411 PECOS PAC ID: 4981506508 Enrollment ID: O20040213000149 |
Entity Name | Family Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811065576 PECOS PAC ID: 1759370216 Enrollment ID: O20040510000899 |
Mailing Address | Practice Location Address |
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Melissa Portia Fuller, LPC 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000 | Melissa Portia Fuller, LPC 7895 Currier Dr, Portage, MI 49002-4314 Ph: (269) 910-7327 |
Mrs. Pamela Regina Robinson, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1151 W Milham Ave, Portage, MI 49024 Phone: 269-205-3356 | |
Tawanda Clarke, M.A., LPC, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 Southland Ave, Portage, MI 49024 Phone: 269-808-6556 | |
Suzanne Degraves, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1591 W Centre Ave Ste 103&105, Portage, MI 49024 Phone: 269-323-2553 | |
Amy Albertson, Counselor Medicare: Medicare Enrolled Practice Location: 1651 W Centre Ave, Portage, MI 49024 Phone: 269-366-0650 | |
Dr. Damon Delano Chambers, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4621 Hanover Ave, Portage, MI 49002 Phone: 269-267-8203 | |
Dr. Charmeka S Newton, PH.D Counselor Medicare: Accepting Medicare Assignments Practice Location: 1350 W Centre Ave, Portage, MI 49024 Phone: 269-910-7327 Fax: 269-910-7328 |