Mr Ronald Evan Hormel, MA, LLPC, NC | |
2075 West Big Beaver Road, Suite 520, Troy, MI 48084 | |
(248) 646-6659 | |
(248) 642-8645 |
Full Name | Mr Ronald Evan Hormel |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 2075 West Big Beaver Road, Troy, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003173113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401012805 (Michigan) | Primary |
Entity Name | Birmingham Maple Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558412551 PECOS PAC ID: 6800867755 Enrollment ID: O20040804000201 |
Mailing Address | Practice Location Address |
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Mr Ronald Evan Hormel, MA, LLPC, NC 2075 West Big Beaver Road, Suite 520, Troy, MI 48084 Ph: (248) 646-6659 | Mr Ronald Evan Hormel, MA, LLPC, NC 2075 West Big Beaver Road, Suite 520, Troy, MI 48084 Ph: (248) 646-6659 |
Alison Christine Maples, MBA, LPC, ATR-BC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 E Big Beaver Rd Ste 100, Troy, MI 48083 Phone: 313-451-3315 Fax: 248-250-9874 | |
Mr. Daniel M Carlock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Stephenson Hwy, Suite 250, Troy, MI 48083 Phone: 248-585-3239 Fax: 248-616-9759 | |
Susan Orlando, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2795 Wagonwheel Dr, Troy, MI 48085 Phone: 248-528-1040 | |
Jaclynn George, L.L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2501 Rochester Ct, Troy, MI 48083 Phone: 248-266-0453 | |
Michael A Stout, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1777 Axtell Dr Ste 100, Troy, MI 48084 Phone: 248-787-0855 | |
Brenette Marie Shines, Counselor Medicare: Not Enrolled in Medicare Practice Location: 755 W Big Beaver Rd Ste 475, Troy, MI 48084 Phone: 248-230-2511 |