Life Coach Psychology Plc | |
300 W Ferry St Berrien Springs MI 49103-1109 | |
(269) 815-5331 | |
(269) 815-5061 |
Full Name | Life Coach Psychology Plc |
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Speciality | Psychologist |
Location | 300 W Ferry St, Berrien Springs, Michigan |
Authorized Official Name and Position | Harold B Smith (OWNER) |
Authorized Official Contact | 2698155331 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Life Coach Psychology Plc 300 W Ferry St Berrien Springs MI 49103-1109 Ph: (269) 815-5331 | Life Coach Psychology Plc 300 W Ferry St Berrien Springs MI 49103-1109 Ph: (269) 815-5331 |
NPI Number | 1831495993 |
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Provider Enumeration Date | 02/07/2011 |
Last Update Date | 05/11/2017 |
Medicare PECOS PAC ID | 9133304744 |
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Medicare Enrollment ID | O20110426000255 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831495993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 6301010743 (Michigan) | Primary |
Provider Name | Alina M Baltazar |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184874158 PECOS PAC ID: 1153369574 Enrollment ID: I20050418000542 |
Provider Name | Harold B Smith |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1003881533 PECOS PAC ID: 9032394655 Enrollment ID: I20110426000281 |
Provider Name | Denise A Stoddard |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1790095594 PECOS PAC ID: 7416121090 Enrollment ID: I20111116000497 |
Provider Name | Mary C Hui Wee |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1659585644 PECOS PAC ID: 0840417184 Enrollment ID: I20140811002238 |
Provider Name | Marilyn Robinson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962936609 PECOS PAC ID: 0547537953 Enrollment ID: I20170606000476 |
Provider Name | Deanna M Keith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780292664 PECOS PAC ID: 9133539760 Enrollment ID: I20201110000679 |
Provider Name | Yazmik S Cantillano |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649854308 PECOS PAC ID: 4183084130 Enrollment ID: I20230721002002 |
Provider Name | Stacey A Nicely |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1710401310 PECOS PAC ID: 5698138568 Enrollment ID: I20230824002349 |
Provider Name | Angela St. Hillaire |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1740607134 PECOS PAC ID: 1557724101 Enrollment ID: I20230829004182 |
Provider Name | Marlene L Rich |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1053657064 PECOS PAC ID: 2567811888 Enrollment ID: I20231212003607 |
Provider Name | Michael A Rogers |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1740972900 PECOS PAC ID: 2365892221 Enrollment ID: I20231219002400 |
Provider Name | Robin L Groat |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1396987533 PECOS PAC ID: 3173973047 Enrollment ID: I20231219002903 |
Provider Name | Melissa Ehart |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1043586951 PECOS PAC ID: 8921433822 Enrollment ID: I20240123001818 |
Life Coach Psychology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9067 Us Highway 31, Berrien Springs, MI 49103 Phone: 269-815-5331 Fax: 269-815-5061 | |
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Life Coach Psychology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9067 Us Highway 31, Suite 203, Berrien Springs, MI 49103 Phone: 269-471-9892 | |
New Insights, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 W Ferry St, Berrien Springs, MI 49103 Phone: 269-325-5056 |