| Innerlight Counseling Services Llc | |
|
6199 Miller Rd Suite A Swartz Creek MI 48473-1585 | |
| (810) 630-0904 | |
| (810) 630-0962 |
| Full Name | Innerlight Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6199 Miller Rd, Swartz Creek, Michigan |
| Authorized Official Name and Position | Sandra Marie Bergfeld (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8106300904 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innerlight Counseling Services Llc 6199 Miller Rd Suite A Swartz Creek MI 48473-1585 Ph: (810) 630-0904 | Innerlight Counseling Services Llc 6199 Miller Rd Suite A Swartz Creek MI 48473-1585 Ph: (810) 630-0904 |
| NPI Number | 1427214899 |
|---|---|
| Provider Enumeration Date | 08/05/2008 |
| Last Update Date | 08/05/2008 |
| Medicare PECOS PAC ID | 8426946773 |
|---|---|
| Medicare Enrollment ID | O20040308001209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427214899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801061244 (Michigan) | Primary |
| Provider Name | Sandra M Bergfeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457441115 PECOS PAC ID: 8123916475 Enrollment ID: I20040309000119 |
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