| New Direction Counseling Center, Llc | |
|
1200 N West Ave Ste 809 Jackson MI 49202-2196 | |
| (517) 257-7846 | |
| Not Available |
| Full Name | New Direction Counseling Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1200 N West Ave Ste 809, Jackson, Michigan |
| Authorized Official Name and Position | Laura Maes (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5179980999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Direction Counseling Center, Llc 1200 N West Ave Ste 809 Jackson MI 49202-2196 Ph: (517) 998-0999 | New Direction Counseling Center, Llc 1200 N West Ave Ste 809 Jackson MI 49202-2196 Ph: (517) 257-7846 |
| NPI Number | 1114496387 |
|---|---|
| Provider Enumeration Date | 11/17/2018 |
| Last Update Date | 04/24/2019 |
| Medicare PECOS PAC ID | 1658708516 |
|---|---|
| Medicare Enrollment ID | O20200305001862 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114496387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Raymond J Webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639593742 PECOS PAC ID: 0941266068 Enrollment ID: I20041209000472 |
| Provider Name | Donna J Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952725137 PECOS PAC ID: 2365870714 Enrollment ID: I20200317002224 |
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