Merrell Recovery Associates Pllc | |
41 Washington Ave Suite 368 Grand Haven MI 49417-1390 | |
(616) 844-7003 | |
(616) 844-7003 |
Full Name | Merrell Recovery Associates Pllc |
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Speciality | Counselor |
Location | 41 Washington Ave, Grand Haven, Michigan |
Authorized Official Name and Position | Joseph Merrell (OWNER) |
Authorized Official Contact | 6168447003 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Merrell Recovery Associates Pllc Po Box 841 Grand Haven MI 49417-0841 Ph: (616) 844-7003 | Merrell Recovery Associates Pllc 41 Washington Ave Suite 368 Grand Haven MI 49417-1390 Ph: (616) 844-7003 |
NPI Number | 1750616892 |
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Provider Enumeration Date | 10/07/2009 |
Last Update Date | 10/13/2016 |
Medicare PECOS PAC ID | 1355629924 |
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Medicare Enrollment ID | O20161102001077 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750616892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 6801016149 (Michigan) | Primary |
Provider Name | Joseph Merrell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710152855 PECOS PAC ID: 2769545698 Enrollment ID: I20090120000375 |
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