| Northwest Counseling And Wellness, Pllc | |
|
106 N Michigan Ave Ste B Big Rapids MI 49307-1481 | |
| (231) 373-5798 | |
| (833) 957-0137 |
| Full Name | Northwest Counseling And Wellness, Pllc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 106 N Michigan Ave Ste B, Big Rapids, Michigan |
| Authorized Official Name and Position | Philip Anthony Himebaugh (OWNER) |
| Authorized Official Contact | 2313735798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Counseling And Wellness, Pllc 106 N Michigan Ave Ste B Big Rapids MI 49307-1481 Ph: (231) 373-5798 | Northwest Counseling And Wellness, Pllc 106 N Michigan Ave Ste B Big Rapids MI 49307-1481 Ph: (231) 373-5798 |
| NPI Number | 1023614930 |
|---|---|
| Provider Enumeration Date | 12/07/2020 |
| Last Update Date | 12/07/2020 |
| Certification Date | 12/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023614930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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