| Life Launch Counseling, Llc | |
|
3030 S 9th St Ste 3f Kalamazoo MI 49009-9456 | |
| (269) 743-6139 | |
| Not Available |
| Full Name | Life Launch Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 3030 S 9th St Ste 3f, Kalamazoo, Michigan |
| Authorized Official Name and Position | Maryann Rigoni-southland (DIRECTOR) |
| Authorized Official Contact | 2697436139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Launch Counseling, Llc 3030 S 9th St Ste 3f Kalamazoo MI 49009-9456 Ph: (269) 743-6139 | Life Launch Counseling, Llc 3030 S 9th St Ste 3f Kalamazoo MI 49009-9456 Ph: (269) 743-6139 |
| NPI Number | 1073054359 |
|---|---|
| Provider Enumeration Date | 03/20/2017 |
| Last Update Date | 03/20/2017 |
| Medicare PECOS PAC ID | 3375970635 |
|---|---|
| Medicare Enrollment ID | O20200226000406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073054359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401008766 (Michigan) | Primary |
| 103TC1900X | Psychologist - Counseling | 6301011550 (Michigan) | Secondary |
| Provider Name | Carolyn K Daniels Krupp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467587857 PECOS PAC ID: 1557305729 Enrollment ID: I20050617000753 |
| Provider Name | Maryann Rigoni-southland |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1134109226 PECOS PAC ID: 1456572742 Enrollment ID: I20141031000151 |
| Provider Name | Lesa M Brenner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871051698 PECOS PAC ID: 6406273465 Enrollment ID: I20200904001671 |
| Provider Name | Amanda Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194267807 PECOS PAC ID: 4183003387 Enrollment ID: I20220617001864 |
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