| Family Counseling And Mediation Services Llc | |
|
4017 W Main St Ste 100 Suite 100 Kalamazoo MI 49006-3731 | |
| (269) 488-5903 | |
| (269) 775-1288 |
| Full Name | Family Counseling And Mediation Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4017 W Main St Ste 100, Kalamazoo, Michigan |
| Authorized Official Name and Position | Laurie Scheid Rudolph (OWNER) |
| Authorized Official Contact | 2694885903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Counseling And Mediation Services Llc 4017 W Main St Ste 100 Suite 100 Kalamazoo MI 49006-3731 Ph: (269) 488-5903 | Family Counseling And Mediation Services Llc 4017 W Main St Ste 100 Suite 100 Kalamazoo MI 49006-3731 Ph: (269) 488-5903 |
| NPI Number | 1700288081 |
|---|---|
| Provider Enumeration Date | 09/18/2014 |
| Last Update Date | 06/29/2016 |
| Medicare PECOS PAC ID | 9234451113 |
|---|---|
| Medicare Enrollment ID | O20141203002013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700288081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6401009641 (Michigan) | Primary |
| Provider Name | Simone Riggs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033462338 PECOS PAC ID: 6406178300 Enrollment ID: I20141204000141 |
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