| Beacon Counseling Services Llc | |
|
5000 Northwind Dr Suite 100 East Lansing MI 48823-5044 | |
| (517) 505-0610 | |
| Not Available |
| Full Name | Beacon Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5000 Northwind Dr, East Lansing, Michigan |
| Authorized Official Name and Position | Philip M Gamber (OWNER) |
| Authorized Official Contact | 5175050610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Counseling Services Llc Po Box 23113 Lansing MI 48909-3113 Ph: (517) 505-0610 | Beacon Counseling Services Llc 5000 Northwind Dr Suite 100 East Lansing MI 48823-5044 Ph: (517) 505-0610 |
| NPI Number | 1881745990 |
|---|---|
| Provider Enumeration Date | 01/15/2007 |
| Last Update Date | 11/08/2012 |
| Medicare PECOS PAC ID | 0749382430 |
|---|---|
| Medicare Enrollment ID | O20070227000401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881745990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Philip M Gamber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487662474 PECOS PAC ID: 4082604830 Enrollment ID: I20040514000402 |
| Provider Name | Sharon Lee Vantuyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669873188 PECOS PAC ID: 6608855515 Enrollment ID: I20040715000197 |
| Provider Name | Carrie A Denbow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689794950 PECOS PAC ID: 6103050794 Enrollment ID: I20131015001006 |
| Provider Name | Sally A Purdy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306364690 PECOS PAC ID: 3173880747 Enrollment ID: I20171207000057 |
| Provider Name | Lois E Husby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053597658 PECOS PAC ID: 2567884497 Enrollment ID: I20200623002926 |
| Provider Name | Jessica Alexandra Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922515758 PECOS PAC ID: 3577983758 Enrollment ID: I20201009001924 |
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