| Clearwater Counseling & Wellness Llc | |
|
1525 E Beltline Se Grand Rapids MI 49525-4598 | |
| (616) 304-6158 | |
| Not Available |
| Full Name | Clearwater Counseling & Wellness Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1525 E Beltline Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Barbara Homrich (OWNER) |
| Authorized Official Contact | 6163046158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearwater Counseling & Wellness Llc 1525 E Beltline Se Grand Rapids MI 49525-4598 Ph: (616) 304-6158 | Clearwater Counseling & Wellness Llc 1525 E Beltline Se Grand Rapids MI 49525-4598 Ph: (616) 304-6158 |
| NPI Number | 1720529332 |
|---|---|
| Provider Enumeration Date | 03/15/2017 |
| Last Update Date | 03/15/2017 |
| Medicare PECOS PAC ID | 0244508166 |
|---|---|
| Medicare Enrollment ID | O20170619001340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720529332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301013517 (Michigan) | Primary |
| Provider Name | Barbara J Homrich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760469027 PECOS PAC ID: 9931188687 Enrollment ID: I20040715001285 |
| Provider Name | Lauren M Guttersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669713525 PECOS PAC ID: 6901035195 Enrollment ID: I20140211000701 |
| Provider Name | Aaron R Frostick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861946048 PECOS PAC ID: 8123301280 Enrollment ID: I20170215001868 |
| Provider Name | Sara L Nagengast |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982708400 PECOS PAC ID: 9436420502 Enrollment ID: I20170808001559 |
| Provider Name | Michael Mccall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881002988 PECOS PAC ID: 5799129433 Enrollment ID: I20240221001049 |
| Provider Name | Kelley S Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154101715 PECOS PAC ID: 6608216874 Enrollment ID: I20240506000226 |
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