| Peace Of Mind Counseling, Consulting, And Supervision Llc | |
|
4025 Holt Rd Ste 205 Holt MI 48842-6019 | |
| (517) 881-7231 | |
| Not Available |
| Full Name | Peace Of Mind Counseling, Consulting, And Supervision Llc |
|---|---|
| Speciality | Counselor |
| Location | 4025 Holt Rd Ste 205, Holt, Michigan |
| Authorized Official Name and Position | Ian David Shafer (OWNER) |
| Authorized Official Contact | 5173166600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Of Mind Counseling, Consulting, And Supervision Llc 4025 Holt Rd Ste 205 Holt MI 48842-6019 Ph: (517) 881-7231 | Peace Of Mind Counseling, Consulting, And Supervision Llc 4025 Holt Rd Ste 205 Holt MI 48842-6019 Ph: (517) 881-7231 |
| NPI Number | 1881197168 |
|---|---|
| Provider Enumeration Date | 03/13/2018 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Medicare PECOS PAC ID | 6800239021 |
|---|---|
| Medicare Enrollment ID | O20240205002932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881197168 | NPI | - | NPPES |
| Provider Name | Ian D Shafer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639575038 PECOS PAC ID: 7416393962 Enrollment ID: I20240307000639 |
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