| Enthrive North Counseling | |
|
800 Cottageview Dr Suite 1074 Traverse City MI 49684-2616 | |
| (231) 492-0808 | |
| (231) 492-0808 |
| Full Name | Enthrive North Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 800 Cottageview Dr, Traverse City, Michigan |
| Authorized Official Name and Position | Daniel Herd (OWNER / PRACTITIONER) |
| Authorized Official Contact | 2158014107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enthrive North Counseling 800 Cottageview Dr Suite 1074 Traverse City MI 49684-2616 Ph: (231) 492-0808 | Enthrive North Counseling 800 Cottageview Dr Suite 1074 Traverse City MI 49684-2616 Ph: (231) 492-0808 |
| NPI Number | 1932589546 |
|---|---|
| Provider Enumeration Date | 06/09/2015 |
| Last Update Date | 06/09/2015 |
| Medicare PECOS PAC ID | 3678861499 |
|---|---|
| Medicare Enrollment ID | O20161011002643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932589546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801097859 (Michigan) | Primary |
| Provider Name | Daniel S Herd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043607278 PECOS PAC ID: 9830487651 Enrollment ID: I20161011002838 |
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