Resilient Life Counseling And Consultation Services Llc | |
3800 Heritage Ave # 2 Okemos MI 48864-2869 | |
(517) 525-1132 | |
Not Available |
Full Name | Resilient Life Counseling And Consultation Services Llc |
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Speciality | Social Worker |
Location | 3800 Heritage Ave # 2, Okemos, 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 |
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Resilient Life Counseling And Consultation Services Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Resilient Life Counseling And Consultation Services Llc 3800 Heritage Ave # 2 Okemos MI 48864-2869 Ph: (517) 525-1132 |
NPI Number | 1558903674 |
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Provider Enumeration Date | 10/09/2019 |
Last Update Date | 02/28/2023 |
Certification Date | 02/28/2023 |
Medicare PECOS PAC ID | 5799110847 |
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Medicare Enrollment ID | O20200116002439 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558903674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Daniel Burns |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235786344 PECOS PAC ID: 1153756689 Enrollment ID: I20200110001250 |
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