| Joy Unlimited Counseling Center, Plc | |
|
6100 Newport Rd Ste 222a Portage MI 49002-9235 | |
| (269) 961-8589 | |
| Not Available |
| Full Name | Joy Unlimited Counseling Center, Plc |
|---|---|
| Speciality | Social Worker |
| Location | 6100 Newport Rd Ste 222a, Portage, Michigan |
| Authorized Official Name and Position | Carol A Harvey (OWNER) |
| Authorized Official Contact | 2699618589 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joy Unlimited Counseling Center, Plc 553 W F Ave Kalamazoo MI 49009-5436 Ph: (269) 961-8589 | Joy Unlimited Counseling Center, Plc 6100 Newport Rd Ste 222a Portage MI 49002-9235 Ph: (269) 961-8589 |
| NPI Number | 1164925269 |
|---|---|
| Provider Enumeration Date | 03/14/2018 |
| Last Update Date | 03/14/2018 |
| Medicare PECOS PAC ID | 7810250073 |
|---|---|
| Medicare Enrollment ID | O20180423000302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164925269 | NPI | - | NPPES |
| 3402136 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801090595 (Michigan) | Primary |
| Provider Name | Carol Anne Harvey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013245752 PECOS PAC ID: 8123215902 Enrollment ID: I20101206000682 |
| Provider Name | Elizabeth T Stoumbos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639614373 PECOS PAC ID: 8820338213 Enrollment ID: I20190321001528 |
| Provider Name | Chad Robert Westmaas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801387691 PECOS PAC ID: 8123479888 Enrollment ID: I20240105004139 |
| Provider Name | Travis James Ericksen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285878413 PECOS PAC ID: 6002259371 Enrollment ID: I20240205000841 |
| Provider Name | Stacey A Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003241589 PECOS PAC ID: 2668815606 Enrollment ID: I20240207001422 |
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