Family Empowerment Services Llc | |
2630 Harmony Path Saint Joseph MI 49085-8298 | |
(269) 759-8750 | |
Not Available |
Full Name | Family Empowerment Services Llc |
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Speciality | Psychologist |
Location | 2630 Harmony Path, Saint Joseph, Michigan |
Authorized Official Name and Position | John W Wells (OWNER/MANAGER) |
Authorized Official Contact | 2697598750 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Empowerment Services Llc 2630 Harmony Path Saint Joseph MI 49085-8298 Ph: (269) 759-8750 | Family Empowerment Services Llc 2630 Harmony Path Saint Joseph MI 49085-8298 Ph: (269) 759-8750 |
NPI Number | 1104360734 |
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Provider Enumeration Date | 12/16/2016 |
Last Update Date | 12/16/2016 |
Medicare PECOS PAC ID | 4183058753 |
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Medicare Enrollment ID | O20200107003201 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104360734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
Provider Name | Allison C Ling |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023296852 PECOS PAC ID: 7911150305 Enrollment ID: I20130115000353 |
Provider Name | Sarah Frey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538173968 PECOS PAC ID: 0042644635 Enrollment ID: I20200108000368 |
Provider Name | Kendell L Casey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467703371 PECOS PAC ID: 1456665124 Enrollment ID: I20230412000908 |
Provider Name | Melissa P Clevenger |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1386086445 PECOS PAC ID: 0547605040 Enrollment ID: I20240223002080 |
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