| Intentional Journey Counseling Services, Pllc | |
|
5084 Lovers Ln Portage MI 49002-1557 | |
| (269) 588-1441 | |
| (269) 775-7551 |
| Full Name | Intentional Journey Counseling Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 5084 Lovers Ln, Portage, Michigan |
| Authorized Official Name and Position | Kristi Jayne Karel (OWNER) |
| Authorized Official Contact | 2695881441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Journey Counseling Services, Pllc 5084 Lovers Ln Portage MI 49002-1557 Ph: (269) 588-1441 | Intentional Journey Counseling Services, Pllc 5084 Lovers Ln Portage MI 49002-1557 Ph: (269) 588-1441 |
| NPI Number | 1457903122 |
|---|---|
| Provider Enumeration Date | 07/12/2019 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Medicare PECOS PAC ID | 9830428515 |
|---|---|
| Medicare Enrollment ID | O20190905000809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457903122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kristi Jayne Karel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871872374 PECOS PAC ID: 2264752625 Enrollment ID: I20150526002414 |
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