| Mindful Transformation Counseling Pllc | |
|
1100 Ludington St Ste 303 Escanaba MI 49829-3500 | |
| (906) 553-4555 | |
| Not Available |
| Full Name | Mindful Transformation Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1100 Ludington St Ste 303, Escanaba, 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 |
|---|---|
| Mindful Transformation Counseling Pllc 2201 12th Ave S Escanaba MI 49829-2123 Ph: () - | Mindful Transformation Counseling Pllc 1100 Ludington St Ste 303 Escanaba MI 49829-3500 Ph: (906) 553-4555 |
| NPI Number | 1588381255 |
|---|---|
| Provider Enumeration Date | 10/24/2022 |
| Last Update Date | 10/24/2022 |
| Certification Date | 10/24/2022 |
| Medicare PECOS PAC ID | 0840668216 |
|---|---|
| Medicare Enrollment ID | O20221116002834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588381255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Lisa A Wangrud |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881178663 PECOS PAC ID: 8325385230 Enrollment ID: I20190131000913 |
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