| Mind And Body Counseling Pllc | |
|
1750 E Grand River Ave Ste 101 East Lansing MI 48823-4958 | |
| (517) 258-0414 | |
| Not Available |
| Full Name | Mind And Body Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1750 E Grand River Ave Ste 101, East 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 |
|---|---|
| Mind And Body Counseling Pllc Po Box 10 Mason MI 48854-0010 Ph: () - | Mind And Body Counseling Pllc 1750 E Grand River Ave Ste 101 East Lansing MI 48823-4958 Ph: (517) 258-0414 |
| NPI Number | 1891548749 |
|---|---|
| Provider Enumeration Date | 04/10/2024 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Medicare PECOS PAC ID | 5597104976 |
|---|---|
| Medicare Enrollment ID | O20240418000439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891548749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Rya Mccann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528392719 PECOS PAC ID: 7416307988 Enrollment ID: I20231223000362 |
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