| Evergreen Hope Counseling, Pllc | |
|
1176 S Main St Ste 201 Plymouth MI 48170-2252 | |
| (920) 246-1465 | |
| Not Available |
| Full Name | Evergreen Hope Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1176 S Main St Ste 201, Plymouth, Michigan |
| Authorized Official Name and Position | Leah Kathryn-west Debone (LPC) |
| Authorized Official Contact | 9202461465 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Hope Counseling, Pllc 1176 S Main St Ste 201 Plymouth MI 48170-2252 Ph: (920) 246-1465 | Evergreen Hope Counseling, Pllc 1176 S Main St Ste 201 Plymouth MI 48170-2252 Ph: (920) 246-1465 |
| NPI Number | 1053022285 |
|---|---|
| Provider Enumeration Date | 12/08/2022 |
| Last Update Date | 05/16/2024 |
| Certification Date | 05/16/2024 |
| Medicare PECOS PAC ID | 9638510738 |
|---|---|
| Medicare Enrollment ID | O20240507001992 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053022285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Leah Debone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730701095 PECOS PAC ID: 3173964475 Enrollment ID: I20240517001957 |
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