| Renee Sporer Counseling, Llc | |
|
2227 N Lakeshore Dr Ludington MI 49431-9386 | |
| (231) 794-9339 | |
| Not Available |
| Full Name | Renee Sporer Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2227 N Lakeshore Dr, Ludington, Michigan |
| Authorized Official Name and Position | Renee Sporer (OWNER) |
| Authorized Official Contact | 2317949339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renee Sporer Counseling, Llc 2227 N Lakeshore Dr Ludington MI 49431-9386 Ph: (231) 794-9339 | Renee Sporer Counseling, Llc 2227 N Lakeshore Dr Ludington MI 49431-9386 Ph: (231) 794-9339 |
| NPI Number | 1578224911 |
|---|---|
| Provider Enumeration Date | 01/07/2022 |
| Last Update Date | 01/07/2022 |
| Certification Date | 01/07/2022 |
| Medicare PECOS PAC ID | 9739572314 |
|---|---|
| Medicare Enrollment ID | O20220202002552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578224911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Renee Sporer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598005506 PECOS PAC ID: 1557754132 Enrollment ID: I20220202002688 |
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