Guided Growth Therapy Llc | |
134 Cascade Dr Battle Creek MI 49015-3508 | |
(616) 805-9344 | |
Not Available |
Full Name | Guided Growth Therapy Llc |
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Speciality | Social Worker |
Location | 134 Cascade Dr, Battle Creek, Michigan |
Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
Authorized Official Contact | 5176769797 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Guided Growth Therapy Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Guided Growth Therapy Llc 134 Cascade Dr Battle Creek MI 49015-3508 Ph: (616) 805-9344 |
NPI Number | 1023722469 |
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Provider Enumeration Date | 01/10/2023 |
Last Update Date | 01/10/2023 |
Certification Date | 01/10/2023 |
Medicare PECOS PAC ID | 2668823014 |
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Medicare Enrollment ID | O20240110001127 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023722469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Gabriella Mckerr |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1285131276 PECOS PAC ID: 3577914928 Enrollment ID: I20240110001175 |
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