Gruber Counseling Llc | |
5270 Northland Dr Ne Ste B Grand Rapids MI 49525-1073 | |
(616) 326-5672 | |
Not Available |
Full Name | Gruber Counseling Llc |
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Speciality | Social Worker |
Location | 5270 Northland Dr Ne Ste B, Grand Rapids, Michigan |
Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
Authorized Official Contact | 5176769788 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gruber Counseling Llc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Gruber Counseling Llc 5270 Northland Dr Ne Ste B Grand Rapids MI 49525-1073 Ph: (616) 326-5672 |
NPI Number | 1265055677 |
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Provider Enumeration Date | 05/20/2020 |
Last Update Date | 05/20/2020 |
Certification Date | 05/20/2020 |
Medicare PECOS PAC ID | 3173945870 |
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Medicare Enrollment ID | O20200625003119 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265055677 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Anne Patterson Gruber-bartley |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992189344 PECOS PAC ID: 4789969106 Enrollment ID: I20170328000992 |
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