Renewed Counseling Services | |
1971 E Beltline Ave Ne Ste 200h Grand Rapids MI 49525-7045 | |
(616) 219-8539 | |
(616) 259-6936 |
Full Name | Renewed Counseling Services |
---|---|
Speciality | Counselor |
Location | 1971 E Beltline Ave Ne Ste 200h, Grand Rapids, Michigan |
Authorized Official Name and Position | Wesley G Morgan (OWNER) |
Authorized Official Contact | 6162198539 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Renewed Counseling Services Po Box 888314 Grand Rapids MI 49588-8314 Ph: () - | Renewed Counseling Services 1971 E Beltline Ave Ne Ste 200h Grand Rapids MI 49525-7045 Ph: (616) 219-8539 |
NPI Number | 1013572197 |
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Provider Enumeration Date | 05/05/2019 |
Last Update Date | 08/07/2019 |
Medicare PECOS PAC ID | 1951751718 |
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Medicare Enrollment ID | O20231220002333 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013572197 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Julie L Edwards |
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Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1285997023 PECOS PAC ID: 3072809482 Enrollment ID: I20160912001732 |
Provider Name | Wesley Morgan |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1639553803 PECOS PAC ID: 6709237399 Enrollment ID: I20240131001746 |
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