| Manestream Services Llc | |
|
7521 Westshire Dr Ste 100 Lansing MI 48917-1105 | |
| (517) 974-9664 | |
| Not Available |
| Full Name | Manestream Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 7521 Westshire Dr Ste 100, Lansing, 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 |
|---|---|
| Manestream Services Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Manestream Services Llc 7521 Westshire Dr Ste 100 Lansing MI 48917-1105 Ph: (517) 974-9664 |
| NPI Number | 1902315690 |
|---|---|
| Provider Enumeration Date | 09/25/2017 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/18/2024 |
| Medicare PECOS PAC ID | 9638522071 |
|---|---|
| Medicare Enrollment ID | O20240201000987 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902315690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Inger Lanese |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902294788 PECOS PAC ID: 0547613986 Enrollment ID: I20240201001096 |
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