| David D. Luce, Acsw | |
|
1419 Nightingale Ln Kingsley MI 49649-9272 | |
| (231) 263-2268 | |
| Not Available |
| Full Name | David D. Luce, Acsw |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1419 Nightingale Ln, Kingsley, Michigan |
| Authorized Official Name and Position | David D Luce (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2312632268 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David D. Luce, Acsw 1419 Nightingale Ln Kingsley MI 49649-9272 Ph: (231) 263-2268 | David D. Luce, Acsw 1419 Nightingale Ln Kingsley MI 49649-9272 Ph: (231) 263-2268 |
| NPI Number | 1578834156 |
|---|---|
| Provider Enumeration Date | 01/13/2012 |
| Last Update Date | 01/05/2024 |
| Certification Date | 12/18/2023 |
| Medicare PECOS PAC ID | 2365609302 |
|---|---|
| Medicare Enrollment ID | O20120203000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578834156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6801064141 (Michigan) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | David D Luce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497812861 PECOS PAC ID: 8426959123 Enrollment ID: I20040115001105 |
Clear Sky Counseling, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2283 E M 113, Kingsley, MI 49649 Phone: 231-818-7907 |