Peace Of Mind Counseling Llc | |
4212 Lennon Rd Ste 1 Flint MI 48507-1080 | |
(810) 282-1674 | |
Not Available |
Full Name | Peace Of Mind Counseling Llc |
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Speciality | Social Worker |
Location | 4212 Lennon Rd Ste 1, Flint, Michigan |
Authorized Official Name and Position | Marybeth Houpt (CREDENTIALING) |
Authorized Official Contact | 5176769797 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Peace Of Mind Counseling Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Peace Of Mind Counseling Llc 4212 Lennon Rd Ste 1 Flint MI 48507-1080 Ph: (810) 282-1674 |
NPI Number | 1770157216 |
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Provider Enumeration Date | 05/19/2021 |
Last Update Date | 06/07/2023 |
Certification Date | 06/07/2023 |
Medicare PECOS PAC ID | 2961801808 |
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Medicare Enrollment ID | O20210526002746 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770157216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Heather E Petherbridge |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902273956 PECOS PAC ID: 7416285952 Enrollment ID: I20190822000802 |
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