| Indigo Creek Counseling Center, Llc | |
|
200 Michigan St Ste 308 Hancock MI 49930-1427 | |
| (906) 281-4852 | |
| Not Available |
| Full Name | Indigo Creek Counseling Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 200 Michigan St, Hancock, Michigan |
| Authorized Official Name and Position | Kimberly Menzel (OWNER) |
| Authorized Official Contact | 9062814852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indigo Creek Counseling Center, Llc 200 Michigan St Ste 308 Hancock MI 49930-1427 Ph: (906) 281-4852 | Indigo Creek Counseling Center, Llc 200 Michigan St Ste 308 Hancock MI 49930-1427 Ph: (906) 281-4852 |
| NPI Number | 1528335981 |
|---|---|
| Provider Enumeration Date | 11/29/2011 |
| Last Update Date | 11/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528335981 | NPI | - | NPPES |
| OP40990 | Other | MI | MEDICARE |
| 6801067833 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801067833 (Michigan) | Primary |
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