Hope & Healing Therapy Services Llc | |
5955 W Main St Kalamazoo MI 49009-8700 | |
(269) 203-5933 | |
Not Available |
Full Name | Hope & Healing Therapy Services Llc |
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Speciality | Counselor |
Location | 5955 W Main St, Kalamazoo, Michigan |
Authorized Official Name and Position | Julie Mckinstry Waldron (THERAPIST/OWNER) |
Authorized Official Contact | 2692035933 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hope & Healing Therapy Services Llc 5955 W Main St Kalamazoo MI 49009-8700 Ph: (269) 203-5933 | Hope & Healing Therapy Services Llc 5955 W Main St Kalamazoo MI 49009-8700 Ph: (269) 203-5933 |
NPI Number | 1144960113 |
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Provider Enumeration Date | 03/29/2022 |
Last Update Date | 03/29/2022 |
Certification Date | 03/29/2022 |
Medicare PECOS PAC ID | 8729435565 |
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Medicare Enrollment ID | O20231115002888 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144960113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
Provider Name | Debra Koning |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932625043 PECOS PAC ID: 6305110974 Enrollment ID: I20170920001730 |
Provider Name | Julie Waldron |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1841672813 PECOS PAC ID: 0547617383 Enrollment ID: I20240523002023 |
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