Center For Behavioral Management Pllc | |
1466 E Saint Joe Hwy Grand Ledge MI 48837-9719 | |
(231) 944-6139 | |
Not Available |
Full Name | Center For Behavioral Management Pllc |
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Speciality | Social Worker |
Location | 1466 E Saint Joe Hwy, Grand Ledge, Michigan |
Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
Authorized Official Contact | 5176769797 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Center For Behavioral Management Pllc Po Box 10 Mason MI 48854-0010 Ph: () - | Center For Behavioral Management Pllc 1466 E Saint Joe Hwy Grand Ledge MI 48837-9719 Ph: (231) 944-6139 |
NPI Number | 1922581990 |
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Provider Enumeration Date | 09/14/2018 |
Last Update Date | 09/14/2018 |
Medicare PECOS PAC ID | 2466872478 |
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Medicare Enrollment ID | O20201013001947 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922581990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Steven D Hampton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962648576 PECOS PAC ID: 8224076476 Enrollment ID: I20050419001143 |
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