| Healing Path Counseling Services Llc | |
|
350 E Michigan Ave Ste 516 Kalamazoo MI 49007-3856 | |
| (269) 205-3073 | |
| Not Available |
| Full Name | Healing Path Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 350 E Michigan Ave Ste 516, Kalamazoo, Michigan |
| Authorized Official Name and Position | Ashley Irene Decou (OWNER) |
| Authorized Official Contact | 2699192005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Path Counseling Services Llc 3809 Ottawa Ave Kalamazoo MI 49006-1944 Ph: (269) 919-2005 | Healing Path Counseling Services Llc 350 E Michigan Ave Ste 516 Kalamazoo MI 49007-3856 Ph: (269) 205-3073 |
| NPI Number | 1558126797 |
|---|---|
| Provider Enumeration Date | 02/16/2024 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Medicare PECOS PAC ID | 8628416278 |
|---|---|
| Medicare Enrollment ID | O20240402003468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558126797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Ashley Decou |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740659333 PECOS PAC ID: 9537507181 Enrollment ID: I20240402003518 |
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