Forward Path Counseling | |
520 N Main St Suite 201 Cheboygan MI 49721-1162 | |
(231) 445-1691 | |
Not Available |
Full Name | Forward Path Counseling |
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Speciality | Community/Behavioral Health |
Location | 520 N Main St, Cheboygan, Michigan |
Authorized Official Name and Position | Lynette Depeter-schulz (OWNER) |
Authorized Official Contact | 2314451691 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Forward Path Counseling 2420 Trout Creek Rd Cheboygan MI 49721-8597 Ph: () - | Forward Path Counseling 520 N Main St Suite 201 Cheboygan MI 49721-1162 Ph: (231) 445-1691 |
NPI Number | 1962941856 |
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Provider Enumeration Date | 02/13/2017 |
Last Update Date | 02/13/2017 |
Medicare PECOS PAC ID | 0648538355 |
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Medicare Enrollment ID | O20171228002524 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962941856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 6801085202 (Michigan) | Primary |
Provider Name | Lynette Marie Depeter-schulz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942749825 PECOS PAC ID: 1557629268 Enrollment ID: I20180104001580 |
Provider Name | Jody Kosanke |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1821682329 PECOS PAC ID: 2264821248 Enrollment ID: I20211112000688 |
Provider Name | Amber Lynn Howard |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1487226965 PECOS PAC ID: 3072958909 Enrollment ID: I20240229003671 |
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