| Beacon Of Hope Counseling Llc | |
|
1645 Goffe St Saint Clair MI 48079-5111 | |
| (810) 289-2720 | |
| (810) 857-6606 |
| Full Name | Beacon Of Hope Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1645 Goffe St, Saint Clair, Michigan |
| Authorized Official Name and Position | Stacey Renae Krause (OWNER/THERAPIST) |
| Authorized Official Contact | 8102892720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Of Hope Counseling Llc 1645 Goffe St Saint Clair MI 48079-5111 Ph: (810) 289-2720 | Beacon Of Hope Counseling Llc 1645 Goffe St Saint Clair MI 48079-5111 Ph: (810) 289-2720 |
| NPI Number | 1972857563 |
|---|---|
| Provider Enumeration Date | 11/04/2012 |
| Last Update Date | 06/08/2023 |
| Certification Date | 06/08/2023 |
| Medicare PECOS PAC ID | 3577700400 |
|---|---|
| Medicare Enrollment ID | O20130513000250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972857563 | NPI | - | NPPES |
| Provider Name | Stacey Krause |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801823208 PECOS PAC ID: 1254344203 Enrollment ID: I20060718000012 |
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