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413 N Grand St Ste C Schoolcraft MI 49087-9203 | |
| (269) 547-0074 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 413 N Grand St Ste C, Schoolcraft, Michigan |
| Authorized Official Name and Position | Brian R Scott (THERAPIST OWNER) |
| Authorized Official Contact | 2695470074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
413 N Grand St Ste C Schoolcraft MI 49087-9203 Ph: (269) 858-8722 | 413 N Grand St Ste C Schoolcraft MI 49087-9203 Ph: (269) 547-0074 |
| NPI Number | 1902595564 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 05/24/2024 |
| Certification Date | 05/06/2024 |
| Medicare PECOS PAC ID | 4082152566 |
|---|---|
| Medicare Enrollment ID | O20240815000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902595564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Brian Randall Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346405826 PECOS PAC ID: 5991243479 Enrollment ID: I20240815000138 |
Angela Mucha Lpc & Brian Scott Lpc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 N Grand St Ste C, Schoolcraft, MI 49087 Phone: 269-547-0074 | |
Haven Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 N Grand St Ste A, Schoolcraft, MI 49087 Phone: 419-349-1789 | |
Angela Mucha, Lpc & Brian Scott , Lpc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 N Grand St Ste C, Schoolcraft, MI 49087 Phone: 269-858-8722 |