| Everett Christian Counseling Llc | |
|
8599 N 32nd St Richland MI 49083-8570 | |
| (269) 861-4867 | |
| Not Available |
| Full Name | Everett Christian Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8599 N 32nd St, Richland, Michigan |
| Authorized Official Name and Position | Amanda J Everett (OWNER) |
| Authorized Official Contact | 2698614867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Everett Christian Counseling Llc 8599 N 32nd St Richland MI 49083-8570 Ph: (269) 861-4867 | Everett Christian Counseling Llc 8599 N 32nd St Richland MI 49083-8570 Ph: (269) 861-4867 |
| NPI Number | 1124755921 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 04/17/2023 |
| Certification Date | 04/17/2023 |
| Medicare PECOS PAC ID | 2860867231 |
|---|---|
| Medicare Enrollment ID | O20230417002685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124755921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amanda J Everett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518302173 PECOS PAC ID: 9436371465 Enrollment ID: I20200527001122 |
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