| Bridging Communities & Counseling Services Llc | |
|
411 W Lake Lansing Rd Ste C120 East Lansing MI 48823-8483 | |
| (517) 525-3089 | |
| Not Available |
| Full Name | Bridging Communities & Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 411 W Lake Lansing Rd Ste C120, East Lansing, Michigan |
| Authorized Official Name and Position | Marybeth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridging Communities & Counseling Services Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Bridging Communities & Counseling Services Llc 411 W Lake Lansing Rd Ste C120 East Lansing MI 48823-8483 Ph: (517) 525-3089 |
| NPI Number | 1881269108 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Certification Date | 05/20/2021 |
| Medicare PECOS PAC ID | 1759780638 |
|---|---|
| Medicare Enrollment ID | O20210526000415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881269108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Ikram A Adawe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518289719 PECOS PAC ID: 6709011224 Enrollment ID: I20131108000409 |
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