| Choose Your Change Counseling Llc | |
|
110 S Auburn Rd Auburn MI 48611-9366 | |
| (989) 545-1358 | |
| (989) 393-2012 |
| Full Name | Choose Your Change Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 110 S Auburn Rd, Auburn, Michigan |
| Authorized Official Name and Position | Amy Folsom (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9895451358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Choose Your Change Counseling Llc 3333 Parkway Dr Bay City MI 48706-6201 Ph: (989) 274-8891 | Choose Your Change Counseling Llc 110 S Auburn Rd Auburn MI 48611-9366 Ph: (989) 545-1358 |
| NPI Number | 1942803945 |
|---|---|
| Provider Enumeration Date | 11/20/2020 |
| Last Update Date | 06/28/2021 |
| Certification Date | 06/28/2021 |
| Medicare PECOS PAC ID | 4587009683 |
|---|---|
| Medicare Enrollment ID | O20240228003210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942803945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Amy Kathryn Folsom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245652601 PECOS PAC ID: 8325491368 Enrollment ID: I20240126000145 |
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