| Beacon Counseling Center Llc | |
|
3665 S Lakeshore Dr 3665 South Lakeshore Drive Saint Joseph MI 49085-8277 | |
| (269) 429-9000 | |
| Not Available |
| Full Name | Beacon Counseling Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 3665 S Lakeshore Dr, Saint Joseph, Michigan |
| Authorized Official Name and Position | Marla Jean Hutchinson (CLINICAL THERAPIST) |
| Authorized Official Contact | 2694299000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Counseling Center Llc 3665 S Lakeshore Dr 3665 South Lakeshore Drive Saint Joseph MI 49085-8277 Ph: (269) 429-9000 | Beacon Counseling Center Llc 3665 S Lakeshore Dr 3665 South Lakeshore Drive Saint Joseph MI 49085-8277 Ph: (269) 429-9000 |
| NPI Number | 1114218807 |
|---|---|
| Provider Enumeration Date | 04/28/2011 |
| Last Update Date | 04/29/2011 |
| Medicare PECOS PAC ID | 8224213764 |
|---|---|
| Medicare Enrollment ID | O20110427000785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114218807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6801089570 (Michigan) | Primary |
| Provider Name | Marla J Hutchinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336298819 PECOS PAC ID: 6002091345 Enrollment ID: I20110429000616 |
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