Grand Rapids Counseling And Consultation Llc | |
1239 76th St Sw Ste H4 Byron Center MI 49315-7921 | |
(616) 780-1243 | |
Not Available |
Full Name | Grand Rapids Counseling And Consultation Llc |
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Speciality | Counselor |
Location | 1239 76th St Sw Ste H4, Byron Center, Michigan |
Authorized Official Name and Position | Kelly Ibarra (OWNER) |
Authorized Official Contact | 6162586270 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grand Rapids Counseling And Consultation Llc 1239 76th St Sw Ste H4 Byron Center MI 49315-7921 Ph: (616) 780-1243 | Grand Rapids Counseling And Consultation Llc 1239 76th St Sw Ste H4 Byron Center MI 49315-7921 Ph: (616) 780-1243 |
NPI Number | 1205544087 |
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Provider Enumeration Date | 11/09/2022 |
Last Update Date | 07/20/2023 |
Certification Date | 07/20/2023 |
Medicare PECOS PAC ID | 1658715925 |
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Medicare Enrollment ID | O20240215000886 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205544087 | NPI | - | NPPES |
Provider Name | Kelly Lynn Ibarra |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1063075562 PECOS PAC ID: 2567806839 Enrollment ID: I20240215000977 |
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