| Alice Williams Lmsw Psychotherapy And Consultation Services Pllc | |
|
532 W Front St Grand Ledge MI 48837-1022 | |
| (517) 282-6312 | |
| Not Available |
| Full Name | Alice Williams Lmsw Psychotherapy And Consultation Services Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 532 W Front St, Grand Ledge, 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 |
|---|---|
| Alice Williams Lmsw Psychotherapy And Consultation Services Pllc Po Box 10 Mason MI 48854-0010 Ph: () - | Alice Williams Lmsw Psychotherapy And Consultation Services Pllc 532 W Front St Grand Ledge MI 48837-1022 Ph: (517) 282-6312 |
| NPI Number | 1245955772 |
|---|---|
| Provider Enumeration Date | 10/06/2022 |
| Last Update Date | 02/09/2023 |
| Certification Date | 02/09/2023 |
| Medicare PECOS PAC ID | 4183090467 |
|---|---|
| Medicare Enrollment ID | O20221012002451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245955772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Alice S Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710063847 PECOS PAC ID: 1557546736 Enrollment ID: I20110503000797 |
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