Non-profit Orginization | |
2020 E Grand River Ste 104 Howell MI 48843 | |
(517) 545-5944 | |
(517) 545-7390 |
Full Name | Non-profit Orginization |
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Speciality | Counselor |
Location | 2020 E Grand River, Howell, Michigan |
Authorized Official Name and Position | Mark Tabor Robinson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5175455944 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Non-profit Orginization 2020 E Grand River Ste 104 Howell MI 48843 Ph: (517) 545-5944 | Non-profit Orginization 2020 E Grand River Ste 104 Howell MI 48843 Ph: (517) 545-5944 |
NPI Number | 1801904594 |
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Provider Enumeration Date | 08/25/2006 |
Last Update Date | 08/14/2013 |
Medicare PECOS PAC ID | 8527972223 |
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Medicare Enrollment ID | O20031117000841 |
Identifier | Type | State | Issuer |
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1801904594 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Joanne M Belloli |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831106517 PECOS PAC ID: 8224937271 Enrollment ID: I20040108000230 |
Provider Name | Michael D Stuart |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053328732 PECOS PAC ID: 7719972140 Enrollment ID: I20040416000064 |
Provider Name | Megan P Vaccaro |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033126719 PECOS PAC ID: 4587643077 Enrollment ID: I20040719000031 |
Provider Name | Rebecca A Deras |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063428654 PECOS PAC ID: 2466483532 Enrollment ID: I20050829000410 |
Provider Name | Laurie J Vukonich |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508027764 PECOS PAC ID: 0143394056 Enrollment ID: I20080811000115 |
Provider Name | John D Furey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407997604 PECOS PAC ID: 6901955137 Enrollment ID: I20090519000328 |
Provider Name | Robert William Ellis |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1124006549 PECOS PAC ID: 0143404087 Enrollment ID: I20110418000559 |
Provider Name | Maryanne P Swanson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427328574 PECOS PAC ID: 2365618253 Enrollment ID: I20111227000031 |
Provider Name | Maria Puscas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346524543 PECOS PAC ID: 3072819283 Enrollment ID: I20160315001435 |
Provider Name | Holly M Carter |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356823538 PECOS PAC ID: 4789092313 Enrollment ID: I20210421000660 |
Provider Name | Ellen M Keefe-garner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356922611 PECOS PAC ID: 6406255751 Enrollment ID: I20210519000670 |
Provider Name | Laura J Wertz |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1700999836 PECOS PAC ID: 6103236500 Enrollment ID: I20240223000646 |
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