| Keystone Counseling Llc | |
|
1845 Rw Berends Dr Sw Wyoming MI 49519-4955 | |
| (616) 303-3917 | |
| Not Available |
| Full Name | Keystone Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1845 Rw Berends Dr Sw, Wyoming, Michigan |
| Authorized Official Name and Position | Ashley Yancho (CLINICAL THERAPIST) |
| Authorized Official Contact | 5867478204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Counseling Llc 1845 Rw Berends Dr Sw Wyoming MI 49519-4955 Ph: (616) 303-3917 | Keystone Counseling Llc 1845 Rw Berends Dr Sw Wyoming MI 49519-4955 Ph: (616) 303-3917 |
| NPI Number | 1710401344 |
|---|---|
| Provider Enumeration Date | 07/25/2017 |
| Last Update Date | 08/10/2022 |
| Certification Date | 08/10/2022 |
| Medicare PECOS PAC ID | 2668745092 |
|---|---|
| Medicare Enrollment ID | O20170907001208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710401344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801094859 (Michigan) | Primary |
| Provider Name | Ashley K Yancho |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124469192 PECOS PAC ID: 1456642925 Enrollment ID: I20160614002026 |
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