| Redmond Counseling Llc | |
|
5270 Northland Dr Ne Ste B Grand Rapids MI 49525-1073 | |
| (616) 344-4785 | |
| Not Available |
| Full Name | Redmond Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5270 Northland Dr Ne Ste B, Grand Rapids, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redmond Counseling Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Redmond Counseling Llc 5270 Northland Dr Ne Ste B Grand Rapids MI 49525-1073 Ph: (616) 344-4785 |
| NPI Number | 1679825533 |
|---|---|
| Provider Enumeration Date | 10/02/2012 |
| Last Update Date | 10/03/2024 |
| Certification Date | 10/03/2024 |
| Medicare PECOS PAC ID | 1658516943 |
|---|---|
| Medicare Enrollment ID | O20130313000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679825533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Jalyn Elizabeth Stuart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164035143 PECOS PAC ID: 5092154260 Enrollment ID: I20240419003570 |
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