Centered Counseling Services Llc | |
6572 Red Arrow Hwy Ste 2 Coloma MI 49038-8700 | |
(269) 205-3344 | |
(888) 418-8655 |
Full Name | Centered Counseling Services Llc |
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Speciality | Social Worker |
Location | 6572 Red Arrow Hwy Ste 2, Coloma, Michigan |
Authorized Official Name and Position | Santiago Ogando (MANAGER) |
Authorized Official Contact | 2693387963 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Centered Counseling Services Llc 8350 Kephart Ln Berrien Springs MI 49103-9570 Ph: (269) 338-7963 | Centered Counseling Services Llc 6572 Red Arrow Hwy Ste 2 Coloma MI 49038-8700 Ph: (269) 205-3344 |
NPI Number | 1144866906 |
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Provider Enumeration Date | 11/26/2019 |
Last Update Date | 08/31/2023 |
Certification Date | 08/31/2023 |
Medicare PECOS PAC ID | 7416303656 |
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Medicare Enrollment ID | O20231025000636 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144866906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Alina M Baltazar |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184874158 PECOS PAC ID: 1153369574 Enrollment ID: I20050418000542 |
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