| Chbrh Tm Clinic Evart Hs | |
|
6221 95th Ave Evart MI 49631-8455 | |
| (616) 754-6185 | |
| Not Available |
| Full Name | Chbrh Tm Clinic Evart Hs |
|---|---|
| Speciality | Social Worker |
| Location | 6221 95th Ave, Evart, Michigan |
| Authorized Official Name and Position | Elisabeth Lacey (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6164866630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chbrh Tm Clinic Evart Hs 100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 Ph: () - | Chbrh Tm Clinic Evart Hs 6221 95th Ave Evart MI 49631-8455 Ph: (616) 754-6185 |
| NPI Number | 1326610817 |
|---|---|
| Provider Enumeration Date | 07/14/2021 |
| Last Update Date | 08/30/2023 |
| Certification Date | 08/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326610817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
Pineview Homes, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8444 Oak Rd, Evart, MI 49631 Phone: 231-734-2045 |