| New Light Counseling Llc | |
|
2001 Hudson Ave Kalamazoo MI 49008-1889 | |
| (269) 830-2162 | |
| Not Available |
| Full Name | New Light Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2001 Hudson Ave, Kalamazoo, Michigan |
| Authorized Official Name and Position | Elizabeth K Greydanus-hawver (OWNER) |
| Authorized Official Contact | 2698302162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Light Counseling Llc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | New Light Counseling Llc 2001 Hudson Ave Kalamazoo MI 49008-1889 Ph: (269) 830-2162 |
| NPI Number | 1467816223 |
|---|---|
| Provider Enumeration Date | 04/07/2016 |
| Last Update Date | 04/07/2016 |
| Medicare PECOS PAC ID | 3274822168 |
|---|---|
| Medicare Enrollment ID | O20160517000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467816223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801088281 (Michigan) | Primary |
| Provider Name | Elizabeth K Greydanus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659444347 PECOS PAC ID: 7012919285 Enrollment ID: I20070201000377 |
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