| Acceptance And Change Transitions Kalamazoo Llc | |
|
2001 Hudson Ave Kalamazoo MI 49008-1889 | |
| (269) 888-3950 | |
| Not Available |
| Full Name | Acceptance And Change Transitions Kalamazoo Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2001 Hudson Ave, Kalamazoo, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acceptance And Change Transitions Kalamazoo Llc 1309 Seemore Ave Kalamazoo MI 49048-7403 Ph: (269) 888-3950 | Acceptance And Change Transitions Kalamazoo Llc 2001 Hudson Ave Kalamazoo MI 49008-1889 Ph: (269) 888-3950 |
| NPI Number | 1598373631 |
|---|---|
| Provider Enumeration Date | 07/15/2020 |
| Last Update Date | 07/05/2023 |
| Certification Date | 07/05/2023 |
| Medicare PECOS PAC ID | 7113344060 |
|---|---|
| Medicare Enrollment ID | O20200824003279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598373631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Heather A Roe Lehman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306183892 PECOS PAC ID: 4082849237 Enrollment ID: I20131024001786 |
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