| Hooper Counseling And Consultation Services Llc | |
|
3800 Heritage Ave Ste A2 Okemos MI 48864-2871 | |
| (517) 204-4670 | |
| Not Available |
| Full Name | Hooper Counseling And Consultation Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3800 Heritage Ave Ste A2, Okemos, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hooper Counseling And Consultation Services Llc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Hooper Counseling And Consultation Services Llc 3800 Heritage Ave Ste A2 Okemos MI 48864-2871 Ph: (517) 204-4670 |
| NPI Number | 1306382361 |
|---|---|
| Provider Enumeration Date | 01/16/2017 |
| Last Update Date | 08/08/2019 |
| Medicare PECOS PAC ID | 3577846583 |
|---|---|
| Medicare Enrollment ID | O20170216000960 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306382361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801086111 (Michigan) | Primary |
| Provider Name | Connie G Bussey Hooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720348923 PECOS PAC ID: 4688824535 Enrollment ID: I20121030000499 |
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