| Prudentia Counseling And Consulting, Llc | |
|
2025 E Beltline Ave Se Ste 102 Grand Rapids MI 49546-7673 | |
| (616) 446-6718 | |
| Not Available |
| Full Name | Prudentia Counseling And Consulting, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2025 E Beltline Ave Se Ste 102, Grand Rapids, Michigan |
| Authorized Official Name and Position | Noah J Menerey (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6164466718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prudentia Counseling And Consulting, Llc 437 Mulford Dr Se Grand Rapids MI 49507-3568 Ph: (616) 446-6718 | Prudentia Counseling And Consulting, Llc 2025 E Beltline Ave Se Ste 102 Grand Rapids MI 49546-7673 Ph: (616) 446-6718 |
| NPI Number | 1912601618 |
|---|---|
| Provider Enumeration Date | 03/28/2023 |
| Last Update Date | 03/28/2023 |
| Certification Date | 03/28/2023 |
| Medicare PECOS PAC ID | 5799141628 |
|---|---|
| Medicare Enrollment ID | O20230519000876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912601618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Noah J Menerey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467550517 PECOS PAC ID: 7719915149 Enrollment ID: I20050727001110 |
| Provider Name | Julia Hawkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649044322 PECOS PAC ID: 2062862436 Enrollment ID: I20231227001840 |
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