| Open Window Counseling | |
|
3481 Pointer Rd West Branch MI 48661-9624 | |
| (929) 787-0640 | |
| Not Available |
| Full Name | Open Window Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 3481 Pointer Rd, West Branch, Michigan |
| Authorized Official Name and Position | Brooke Illig (PRESIDENT) |
| Authorized Official Contact | 9297870640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Window Counseling 3481 Pointer Rd West Branch MI 48661-9624 Ph: (929) 787-0640 | Open Window Counseling 3481 Pointer Rd West Branch MI 48661-9624 Ph: (929) 787-0640 |
| NPI Number | 1124785191 |
|---|---|
| Provider Enumeration Date | 11/24/2021 |
| Last Update Date | 11/24/2021 |
| Certification Date | 11/24/2021 |
| Medicare PECOS PAC ID | 1153712112 |
|---|---|
| Medicare Enrollment ID | O20211229002190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124785191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brooke Illig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194174623 PECOS PAC ID: 6002185907 Enrollment ID: I20170710001010 |
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