| Meadow Run Holistic Counseling | |
|
450 Meadow Run Dr Suite 400 Hastings MI 49058-9053 | |
| (269) 945-8806 | |
| (269) 945-8831 |
| Full Name | Meadow Run Holistic Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 450 Meadow Run Dr, Hastings, Michigan |
| Authorized Official Name and Position | Vicki L Shumaker (OWNER) |
| Authorized Official Contact | 2699458806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadow Run Holistic Counseling 450 Meadow Run Dr Suite 400 Hastings MI 49058-9053 Ph: (269) 945-8806 | Meadow Run Holistic Counseling 450 Meadow Run Dr Suite 400 Hastings MI 49058-9053 Ph: (269) 945-8806 |
| NPI Number | 1215229588 |
|---|---|
| Provider Enumeration Date | 05/05/2011 |
| Last Update Date | 05/05/2011 |
| Medicare PECOS PAC ID | 6103004510 |
|---|---|
| Medicare Enrollment ID | O20110706000341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215229588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801089226 (Michigan) | Primary |
| Provider Name | Vicki L Shumaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578765053 PECOS PAC ID: 4981893054 Enrollment ID: I20110105001194 |
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