| Kohley Counseling Llc | |
|
2976 Ivanrest Ave Sw Ste 205 Grandville MI 49418-1440 | |
| (616) 261-0888 | |
| Not Available |
| Full Name | Kohley Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2976 Ivanrest Ave Sw Ste 205, Grandville, Michigan |
| Authorized Official Name and Position | Joseph Kohley (OWNER) |
| Authorized Official Contact | 6162610888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kohley Counseling Llc 2723 Parkside Dr Jenison MI 49428-9102 Ph: (616) 669-4866 | Kohley Counseling Llc 2976 Ivanrest Ave Sw Ste 205 Grandville MI 49418-1440 Ph: (616) 261-0888 |
| NPI Number | 1518486844 |
|---|---|
| Provider Enumeration Date | 09/19/2017 |
| Last Update Date | 09/19/2017 |
| Medicare PECOS PAC ID | 2163857566 |
|---|---|
| Medicare Enrollment ID | O20200113001612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518486844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ruth E Kohley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851449623 PECOS PAC ID: 6800221367 Enrollment ID: I20200111000070 |
| Provider Name | Joseph P Kohley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740338508 PECOS PAC ID: 8729411095 Enrollment ID: I20200113001873 |
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