| Logan Stout Therapy Services,llc | |
|
800 E Milham Ave Ste 200 Portage MI 49002-1490 | |
| (269) 744-4725 | |
| Not Available |
| Full Name | Logan Stout Therapy Services,llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 800 E Milham Ave Ste 200, Portage, Michigan |
| Authorized Official Name and Position | Logan T Stout (OWNER) |
| Authorized Official Contact | 2697444725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Stout Therapy Services,llc 800 E Milham Ave Ste 200 Portage MI 49002-1490 Ph: (269) 744-4725 | Logan Stout Therapy Services,llc 800 E Milham Ave Ste 200 Portage MI 49002-1490 Ph: (269) 744-4725 |
| NPI Number | 1508459942 |
|---|---|
| Provider Enumeration Date | 02/17/2021 |
| Last Update Date | 02/17/2021 |
| Certification Date | 02/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508459942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Seed To Tree Counseling & Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8150 Mayfield St, Portage, MI 49002 Phone: 269-377-2485 | |
Michigan Integrated Therapies Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8080 Moorsbridge Rd Ste 102, Portage, MI 49024 Phone: 269-795-6681 | |
Millicent M Perkins Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5930 Lovers Ln, Portage, MI 49002 Phone: 269-344-9490 Fax: 269-344-8696 | |
Maternal Hope Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 Romence Rd Ste 211a, Portage, MI 49024 Phone: 269-359-7300 | |
Ascension Medical Group Promed Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8001 Angling Rd, Portage, MI 49024 Phone: 269-321-7090 | |
Southwest Michigan Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5250 Lovers Ln Ste 200, Portage, MI 49002 Phone: 800-676-0423 | |
Michael V Bloom Phd Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7920 Kirkland Ct, Portage, MI 49024 Phone: 269-345-0669 Fax: 269-345-5354 |