| Abalone Counseling | |
|
17194 Van Wagoner Rd Spring Lake MI 49456-9793 | |
| (616) 846-1053 | |
| (616) 846-1129 |
| Full Name | Abalone Counseling |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 17194 Van Wagoner Rd, Spring Lake, Michigan |
| Authorized Official Name and Position | Dorothy D. Caldwell (LPC) |
| Authorized Official Contact | 8105779987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abalone Counseling 11678 Olive Lake Dr West Olive MI 49460 Ph: () - | Abalone Counseling 17194 Van Wagoner Rd Spring Lake MI 49456-9793 Ph: (616) 846-1053 |
| NPI Number | 1407311723 |
|---|---|
| Provider Enumeration Date | 02/01/2019 |
| Last Update Date | 02/01/2019 |
| Medicare PECOS PAC ID | 5597117804 |
|---|---|
| Medicare Enrollment ID | O20240122003911 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407311723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Dorothy D Caldwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902056559 PECOS PAC ID: 4284078338 Enrollment ID: I20240222000608 |
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