Lilac Counseling Services | |
800 E Ellis Rd # 565 Norton Shores MI 49441-5622 | |
(231) 402-0297 | |
Not Available |
Full Name | Lilac Counseling Services |
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Speciality | Social Worker |
Location | 800 E Ellis Rd # 565, Norton Shores, Michigan |
Authorized Official Name and Position | Juna Kay Killion (OWNER/ CLINICAL THERAPIST) |
Authorized Official Contact | 2314020297 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lilac Counseling Services 800 E Ellis Rd # 565 Norton Shores MI 49441-5622 Ph: (231) 402-0297 | Lilac Counseling Services 800 E Ellis Rd # 565 Norton Shores MI 49441-5622 Ph: (231) 402-0297 |
NPI Number | 1295450112 |
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Provider Enumeration Date | 10/04/2022 |
Last Update Date | 10/04/2022 |
Certification Date | 10/04/2022 |
Medicare PECOS PAC ID | 2163876418 |
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Medicare Enrollment ID | O20230920004232 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295450112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Juna K Killion |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356705271 PECOS PAC ID: 5294139176 Enrollment ID: I20210816000238 |
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