| Jennifer Bailey Bethechange Counseling Llc | |
|
1423 Pine Grove Ave Port Huron MI 48060-3513 | |
| (810) 434-0640 | |
| Not Available |
| Full Name | Jennifer Bailey Bethechange Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1423 Pine Grove Ave, Port Huron, Michigan |
| Authorized Official Name and Position | Jennifer L Bailey (OWNER) |
| Authorized Official Contact | 8104340640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Bailey Bethechange Counseling Llc 1423 Pine Grove Ave Port Huron MI 48060-3513 Ph: (810) 434-0640 | Jennifer Bailey Bethechange Counseling Llc 1423 Pine Grove Ave Port Huron MI 48060-3513 Ph: (810) 434-0640 |
| NPI Number | 1730820002 |
|---|---|
| Provider Enumeration Date | 04/02/2022 |
| Last Update Date | 04/02/2022 |
| Certification Date | 04/02/2022 |
| Medicare PECOS PAC ID | 5991171118 |
|---|---|
| Medicare Enrollment ID | O20221013000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730820002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer L Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164656245 PECOS PAC ID: 5890754139 Enrollment ID: I20041004000611 |
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