| Good Place Psychotherapy Llc | |
|
635 Simpson St Plymouth MI 48170-2258 | |
| (810) 333-9475 | |
| Not Available |
| Full Name | Good Place Psychotherapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 635 Simpson St, Plymouth, Michigan |
| Authorized Official Name and Position | Courtney Lobeck (OWNER/THERAPIST) |
| Authorized Official Contact | 8103339475 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Place Psychotherapy Llc 43311 Joy Rd # 250 Canton MI 48187-2075 Ph: (734) 455-1313 | Good Place Psychotherapy Llc 635 Simpson St Plymouth MI 48170-2258 Ph: (810) 333-9475 |
| NPI Number | 1841888724 |
|---|---|
| Provider Enumeration Date | 01/06/2021 |
| Last Update Date | 01/06/2021 |
| Certification Date | 01/06/2021 |
| Medicare PECOS PAC ID | 9335673854 |
|---|---|
| Medicare Enrollment ID | O20241106003001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841888724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Courtney Lobeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598271397 PECOS PAC ID: 1759816077 Enrollment ID: I20241123000320 |
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