Peter Dehaan, MA LLPC, LLMFT | |
3300 36th St Se, Grand Rapids, MI 49512-2810 | |
(616) 942-2110 | |
Not Available |
Full Name | Peter Dehaan |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 3300 36th St Se, Grand Rapids, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659886232 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 4101006752 (Michigan) | Secondary |
101YP2500X | Counselor - Professional | 6401016266 (Michigan) | Primary |
Entity Name | Centennial Park Counseling Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689814469 PECOS PAC ID: 7517340557 Enrollment ID: O20220824000337 |
Mailing Address | Practice Location Address |
---|---|
Peter Dehaan, MA LLPC, LLMFT 2867 Riverwoods Dr Ne, Rockford, MI 49341-9294 Ph: (616) 822-8592 | Peter Dehaan, MA LLPC, LLMFT 3300 36th St Se, Grand Rapids, MI 49512-2810 Ph: (616) 942-2110 |
Mrs. Dana Kay Anderson, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Eastern Ave Ne, Grand Rapids, MI 49503 Phone: 616-254-7741 Fax: 616-254-7750 | |
Marilyn Dale, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5005 Plainfield Ave Ne Ste 100, Grand Rapids, MI 49525 Phone: 616-279-3869 Fax: 616-608-4657 | |
Brittani Shaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Eastern Ave Ne, Grand Rapids, MI 49503 Phone: 616-818-4803 Fax: 616-710-5176 | |
Tao Chance Brown-edwards, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-455-5000 | |
Lauren Marie Snoeyink, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1295 68th St Se, Grand Rapids, MI 49508 Phone: 616-970-3724 | |
Megan Elinor Johnson, BCBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 36th St Se, Grand Rapids, MI 49512 Phone: 616-942-2810 | |
Amanda Joy Rewa, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Trowbridge St Ne Apt 208, Grand Rapids, MI 49503 Phone: 231-755-8284 |