| Insignia Counseling Service Llc | |
|
954 Business Park Dr Ste 5 Traverse City MI 49686 | |
| (231) 632-0204 | |
| Not Available |
| Full Name | Insignia Counseling Service Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 954 Business Park Dr Ste 5, Traverse City, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Insignia Counseling Service Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Insignia Counseling Service Llc 954 Business Park Dr Ste 5 Traverse City MI 49686 Ph: (231) 632-0204 |
| NPI Number | 1073099784 |
|---|---|
| Provider Enumeration Date | 07/16/2018 |
| Last Update Date | 09/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073099784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801089687 (Michigan) | Primary |
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