| Llc Counseling Services Llc | |
|
113 W Broadway St Ste 110 Mount Pleasant MI 48858-2575 | |
| (989) 802-4490 | |
| Not Available |
| Full Name | Llc Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 113 W Broadway St Ste 110, Mount Pleasant, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Llc Counseling Services Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Llc Counseling Services Llc 113 W Broadway St Ste 110 Mount Pleasant MI 48858-2575 Ph: (989) 802-4490 |
| NPI Number | 1396445102 |
|---|---|
| Provider Enumeration Date | 03/09/2023 |
| Last Update Date | 03/09/2023 |
| Certification Date | 03/09/2023 |
| Medicare PECOS PAC ID | 9638543424 |
|---|---|
| Medicare Enrollment ID | O20230317000795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396445102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Lorry Lin Crawford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437856473 PECOS PAC ID: 0547634339 Enrollment ID: I20230317000875 |
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