| Compassionate Christian Therapy, Llc | |
|
16175 Robbins Rd Ste 2 Grand Haven MI 49417-9403 | |
| (616) 920-1335 | |
| Not Available |
| Full Name | Compassionate Christian Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 16175 Robbins Rd Ste 2, Grand Haven, Michigan |
| Authorized Official Name and Position | Brenda Ann Vette Wachter (OWNER) |
| Authorized Official Contact | 2315579799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Christian Therapy, Llc 16175 Robbins Rd Ste 2 Grand Haven MI 49417-9403 Ph: (616) 920-1335 | Compassionate Christian Therapy, Llc 16175 Robbins Rd Ste 2 Grand Haven MI 49417-9403 Ph: (616) 920-1335 |
| NPI Number | 1295393478 |
|---|---|
| Provider Enumeration Date | 06/03/2019 |
| Last Update Date | 07/19/2023 |
| Certification Date | 07/19/2023 |
| Medicare PECOS PAC ID | 9638408180 |
|---|---|
| Medicare Enrollment ID | O20190909001151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295393478 | NPI | - | NPPES |
| 1003902495 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brenda A Wachter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003902495 PECOS PAC ID: 4789929274 Enrollment ID: I20190103001127 |
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