Chosen, Pllc | |
1803 Whites Rd Ste 4 Kalamazoo MI 49008-2883 | |
(866) 232-5389 | |
(866) 938-3746 |
Full Name | Chosen, Pllc |
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Speciality | Community/Behavioral Health |
Location | 1803 Whites Rd Ste 4, Kalamazoo, Michigan |
Authorized Official Name and Position | Leatrice Renee Brooks (PSYCHOLOGIST) |
Authorized Official Contact | 8662325389 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chosen, Pllc 1803 Whites Rd Ste 4 Kalamazoo MI 49008-2883 Ph: (866) 232-5389 | Chosen, Pllc 1803 Whites Rd Ste 4 Kalamazoo MI 49008-2883 Ph: (866) 232-5389 |
NPI Number | 1194120097 |
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Provider Enumeration Date | 11/04/2014 |
Last Update Date | 06/11/2019 |
Medicare PECOS PAC ID | 5890006571 |
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Medicare Enrollment ID | O20150622002253 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194120097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 6301015072 (Michigan) | Primary |
Provider Name | Leatrice R Brooks |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1245516970 PECOS PAC ID: 8224349907 Enrollment ID: I20150629000341 |
Provider Name | Benjamin James Stuebs |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1497396568 PECOS PAC ID: 8921450883 Enrollment ID: I20240117001194 |
Provider Name | Jill Patrice Chestang |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1154757060 PECOS PAC ID: 4486006111 Enrollment ID: I20240118002467 |
Provider Name | Laurel Huff |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1780175802 PECOS PAC ID: 2860845500 Enrollment ID: I20240129003396 |
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