| Kalamazoo Counseling Center, Plc | |
|
5084 Lovers Ln Portage MI 49002-1557 | |
| (269) 339-1240 | |
| Not Available |
| Full Name | Kalamazoo Counseling Center, Plc |
|---|---|
| Speciality | Counselor |
| Location | 5084 Lovers Ln, Portage, Michigan |
| Authorized Official Name and Position | Indira K Kalmbach (OWNER) |
| Authorized Official Contact | 2693391240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kalamazoo Counseling Center, Plc 5084 Lovers Ln Portage MI 49002-1557 Ph: (269) 339-1240 | Kalamazoo Counseling Center, Plc 5084 Lovers Ln Portage MI 49002-1557 Ph: (269) 339-1240 |
| NPI Number | 1215706064 |
|---|---|
| Provider Enumeration Date | 12/21/2023 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Medicare PECOS PAC ID | 7618320839 |
|---|---|
| Medicare Enrollment ID | O20240124001756 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215706064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Indira K Kalmbach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760092076 PECOS PAC ID: 9436502655 Enrollment ID: I20240124001929 |
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