| Porters Headspace | |
|
4212 Lennon Rd Ste 1 Flint MI 48507-1080 | |
| (810) 293-5063 | |
| Not Available |
| Full Name | Porters Headspace |
|---|---|
| Speciality | Social Worker |
| Location | 4212 Lennon Rd Ste 1, Flint, Michigan |
| Authorized Official Name and Position | Rebecca Marie Porter (OWNER) |
| Authorized Official Contact | 8102935063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Porters Headspace Po Box 320797 Flint MI 48532-0014 Ph: (810) 293-5063 | Porters Headspace 4212 Lennon Rd Ste 1 Flint MI 48507-1080 Ph: (810) 293-5063 |
| NPI Number | 1790477180 |
|---|---|
| Provider Enumeration Date | 05/23/2023 |
| Last Update Date | 08/28/2023 |
| Certification Date | 08/28/2023 |
| Medicare PECOS PAC ID | 3577927086 |
|---|---|
| Medicare Enrollment ID | O20230918001993 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790477180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rebecca M Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386072528 PECOS PAC ID: 9234466988 Enrollment ID: I20190805000438 |
Oasis Counseling Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4119 N Saginaw St, Suite 107, Flint, MI 48505 Phone: 810-336-8931 | |
Easter Seals-michigan, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 University Ave, Flint, MI 48504 Phone: 810-238-0475 Fax: 810-238-9270 | |
Flint Odyssey House, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Martin Luther King Ave, Flint, MI 48503 Phone: 810-238-5888 | |
Qrs Family Wellness Center Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2503 S Linden Rd Ste 190a, Flint, MI 48532 Phone: 810-370-0409 | |
Neurology Division Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: G3239 Beecher Rd, Suite C, Flint, MI 48532 Phone: 810-230-2491 Fax: 810-732-4344 | |
Jamail Psychological Clinic Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1114 Beach St, Flint, MI 48502 Phone: 810-767-4114 Fax: 810-767-4429 | |
Felipe Videla Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: G5154 Miller Rd, Suite Cn, Flint, MI 48507 Phone: 810-733-0710 Fax: 810-733-0715 |