| Enz Counseling Services Llc | |
|
911 4th Ave Ste 104 Lake Odessa MI 48849-1038 | |
| (616) 890-5688 | |
| Not Available |
| Full Name | Enz Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 911 4th Ave Ste 104, Lake Odessa, Michigan |
| Authorized Official Name and Position | Erica Enz (OWNER) |
| Authorized Official Contact | 6168905688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enz Counseling Services Llc 411 E Blair St Hastings MI 49058-1502 Ph: (616) 890-5688 | Enz Counseling Services Llc 911 4th Ave Ste 104 Lake Odessa MI 48849-1038 Ph: (616) 890-5688 |
| NPI Number | 1144801283 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 04/20/2021 |
| Certification Date | 04/11/2021 |
| Medicare PECOS PAC ID | 5597174110 |
|---|---|
| Medicare Enrollment ID | O20210512001608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144801283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Erica Enz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174946578 PECOS PAC ID: 3779850987 Enrollment ID: I20170518001152 |
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