| Professional Psychotherapy Services Llc | |
|
124 Hart St Marshall MI 49068-1824 | |
| (517) 227-0475 | |
| Not Available |
| Full Name | Professional Psychotherapy Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 124 Hart St, Marshall, Michigan |
| Authorized Official Name and Position | Marybeth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Psychotherapy Services Llc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Professional Psychotherapy Services Llc 124 Hart St Marshall MI 49068-1824 Ph: (517) 227-0475 |
| NPI Number | 1851987473 |
|---|---|
| Provider Enumeration Date | 12/17/2020 |
| Last Update Date | 12/17/2020 |
| Certification Date | 12/17/2020 |
| Medicare PECOS PAC ID | 9234588294 |
|---|---|
| Medicare Enrollment ID | O20231215001800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851987473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Lauri Rowe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912392465 PECOS PAC ID: 0143679100 Enrollment ID: I20231215001882 |
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