| Portage Life Coaching And Counseling Llp | |
|
10032 Shaver Rd Portage MI 49024-6738 | |
| (269) 993-9977 | |
| Not Available |
| Full Name | Portage Life Coaching And Counseling Llp |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10032 Shaver Rd, Portage, Michigan |
| Authorized Official Name and Position | Gerald Brooks (CEO) |
| Authorized Official Contact | 2694478758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portage Life Coaching And Counseling Llp 10032 Shaver Rd Portage MI 49024-6738 Ph: () - | Portage Life Coaching And Counseling Llp 10032 Shaver Rd Portage MI 49024-6738 Ph: (269) 993-9977 |
| NPI Number | 1366052011 |
|---|---|
| Provider Enumeration Date | 08/07/2020 |
| Last Update Date | 11/27/2023 |
| Certification Date | 08/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366052011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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