Marshall Couseling Center | |
211 Capital Ave Ne Battle Creek MI 49017 | |
(269) 962-2722 | |
(269) 964-8484 |
Full Name | Marshall Couseling Center |
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Speciality | Psychologist |
Location | 211 Capital Ave Ne, Battle Creek, Michigan |
Authorized Official Name and Position | Stephen A. Lazar (PRESIDENT) |
Authorized Official Contact | 2699622722 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Marshall Couseling Center 211 Capital Ave Ne Battle Creek MI 49017-3926 Ph: (269) 962-2722 | Marshall Couseling Center 211 Capital Ave Ne Battle Creek MI 49017 Ph: (269) 962-2722 |
NPI Number | 1669423844 |
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Provider Enumeration Date | 05/13/2006 |
Last Update Date | 08/23/2018 |
Medicare PECOS PAC ID | 8224024674 |
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Medicare Enrollment ID | O20040422000101 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669423844 | NPI | - | NPPES |
68-0H010630 | Other | MI | BCBSM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Stephen A Lazar |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1861444754 PECOS PAC ID: 3274529623 Enrollment ID: I20040422000142 |
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