| Growth Mindset Counseling, Pllc | |
|
526 W Centre Ave Portage MI 49024-5306 | |
| (269) 303-2299 | |
| Not Available |
| Full Name | Growth Mindset Counseling, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 526 W Centre Ave, Portage, Michigan |
| Authorized Official Name and Position | Jeff Chicoski (OWNER/THERAPIST) |
| Authorized Official Contact | 2693032299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Growth Mindset Counseling, Pllc 3230 Lites End Ct Portage MI 49024-2381 Ph: (269) 873-7617 | Growth Mindset Counseling, Pllc 526 W Centre Ave Portage MI 49024-5306 Ph: (269) 303-2299 |
| NPI Number | 1295431708 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Medicare PECOS PAC ID | 5890133714 |
|---|---|
| Medicare Enrollment ID | O20240410002687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295431708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Nolan Chicoski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073827028 PECOS PAC ID: 8527306398 Enrollment ID: I20240410002800 |
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