| Headspace Counseling Services, Llc | |
|
1568 Lake Lansing Rd Lansing MI 48912-3707 | |
| (517) 657-3533 | |
| Not Available |
| Full Name | Headspace Counseling Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1568 Lake Lansing Rd, Lansing, Michigan |
| Authorized Official Name and Position | Ashita Ghelani (BUSINESS OWNER) |
| Authorized Official Contact | 5179744726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Headspace Counseling Services, Llc 1578 Picadilly Dr Haslett MI 48840-8480 Ph: (517) 993-8072 | Headspace Counseling Services, Llc 1568 Lake Lansing Rd Lansing MI 48912-3707 Ph: (517) 657-3533 |
| NPI Number | 1932773918 |
|---|---|
| Provider Enumeration Date | 05/14/2021 |
| Last Update Date | 12/30/2021 |
| Certification Date | 12/30/2021 |
| Medicare PECOS PAC ID | 1557749991 |
|---|---|
| Medicare Enrollment ID | O20220526000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932773918 | NPI | - | NPPES |
| Provider Name | Peter Jon Hochstedler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013423060 PECOS PAC ID: 6507257813 Enrollment ID: I20211221002225 |
| Provider Name | Stacey Malinoski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598271561 PECOS PAC ID: 0749668770 Enrollment ID: I20220603001506 |
| Provider Name | Indira Vazgec |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083073753 PECOS PAC ID: 6709256571 Enrollment ID: I20230112001740 |
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