| Portal Point Counseling, Llc | |
|
2663 44th St Sw Ste 106 Wyoming MI 49519-4189 | |
| (616) 299-8789 | |
| Not Available |
| Full Name | Portal Point Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2663 44th St Sw Ste 106, Wyoming, Michigan |
| Authorized Official Name and Position | Rachel Marie Vanbuskirk (OWNER) |
| Authorized Official Contact | 6162998789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Portal Point Counseling, Llc 2178 Byron Shores Dr Sw Byron Center MI 49315-8087 Ph: (616) 299-8787 | Portal Point Counseling, Llc 2663 44th St Sw Ste 106 Wyoming MI 49519-4189 Ph: (616) 299-8789 |
| NPI Number | 1689134074 |
|---|---|
| Provider Enumeration Date | 03/21/2019 |
| Last Update Date | 03/21/2019 |
| Medicare PECOS PAC ID | 5698002418 |
|---|---|
| Medicare Enrollment ID | O20190815003225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689134074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Tamara Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861950404 PECOS PAC ID: 4688901762 Enrollment ID: I20190813000313 |
| Provider Name | Rachel Vanbuskirk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972080679 PECOS PAC ID: 1850629924 Enrollment ID: I20190827003749 |
| Provider Name | Jacquelyn Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144833468 PECOS PAC ID: 4082084447 Enrollment ID: I20221228002301 |
| Provider Name | Luke Markham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679202238 PECOS PAC ID: 4082087002 Enrollment ID: I20230222001203 |
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