| Acac, Inc | |
|
3940 Peninsular Dr Se Ste 240 Grand Rapids MI 49546-2443 | |
| (616) 957-5850 | |
| (616) 957-5853 |
| Full Name | Acac, Inc |
|---|---|
| Speciality | Counselor |
| Location | 3940 Peninsular Dr Se Ste 240, Grand Rapids, Michigan |
| Authorized Official Name and Position | Joe Whalen (CEO) |
| Authorized Official Contact | 2317409566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acac, Inc 3940 Peninsular Dr Se Ste 240 Grand Rapids MI 49546-2443 Ph: (616) 957-5850 | Acac, Inc 3940 Peninsular Dr Se Ste 240 Grand Rapids MI 49546-2443 Ph: (616) 957-5850 |
| NPI Number | 1447356050 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 11/30/2021 |
| Certification Date | 11/30/2021 |
| Medicare PECOS PAC ID | 2668496654 |
|---|---|
| Medicare Enrollment ID | O20060117001066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447356050 | NPI | - | NPPES |
| 1447356050 | Medicaid | MI |
| Provider Name | John N Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417901232 PECOS PAC ID: 5395729651 Enrollment ID: I20040615000574 |
| Provider Name | Nan L Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003033481 PECOS PAC ID: 4880618651 Enrollment ID: I20060119000347 |
| Provider Name | Hollie Andrews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497949135 PECOS PAC ID: 5193867836 Enrollment ID: I20100119000632 |
| Provider Name | David K Neal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669700290 PECOS PAC ID: 5799817615 Enrollment ID: I20100713000156 |
| Provider Name | Venettie H Poston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003389883 PECOS PAC ID: 5496097776 Enrollment ID: I20190507002232 |
| Provider Name | Danielle Suzanne Hopwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831451657 PECOS PAC ID: 9830512292 Enrollment ID: I20200702001014 |
| Provider Name | Ann Dawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851885800 PECOS PAC ID: 7214354273 Enrollment ID: I20200904001676 |
| Provider Name | Anita J Banks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336548122 PECOS PAC ID: 7416300686 Enrollment ID: I20240124003439 |
| Provider Name | Pamela D Jennings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740307982 PECOS PAC ID: 6608210851 Enrollment ID: I20240215003834 |
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