Healing Arts Counseling Llc | |
3301 Veterans Dr Ste 126 Traverse City MI 49684-4564 | |
(231) 735-8338 | |
(833) 704-6170 |
Full Name | Healing Arts Counseling Llc |
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Speciality | Counselor |
Location | 3301 Veterans Dr Ste 126, Traverse City, Michigan |
Authorized Official Name and Position | Kelly Anne-julin Forrester (SNGL MEMBER OWNER/PROVIDER) |
Authorized Official Contact | 2317358338 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healing Arts Counseling Llc 3301 Veterans Dr Suite 126 Traverse City MI 49684-4574 Ph: (231) 735-8338 | Healing Arts Counseling Llc 3301 Veterans Dr Ste 126 Traverse City MI 49684-4564 Ph: (231) 735-8338 |
NPI Number | 1912334830 |
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Provider Enumeration Date | 10/09/2013 |
Last Update Date | 12/11/2023 |
Certification Date | 12/11/2023 |
Medicare PECOS PAC ID | 9830548122 |
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Medicare Enrollment ID | O20231212002415 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912334830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 6401012209 (Michigan) | Primary |
Provider Name | Kelly Anne-julin Forrester |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1548573496 PECOS PAC ID: 0749639037 Enrollment ID: I20231212002508 |
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