| Resilient Minds Llc | |
|
25 W Main St Ste B Fremont MI 49412-1186 | |
| (231) 349-0263 | |
| Not Available |
| Full Name | Resilient Minds Llc |
|---|---|
| Speciality | Counselor |
| Location | 25 W Main St Ste B, Fremont, 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 |
|---|---|
| Resilient Minds Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Resilient Minds Llc 25 W Main St Ste B Fremont MI 49412-1186 Ph: (231) 349-0263 |
| NPI Number | 1881175586 |
|---|---|
| Provider Enumeration Date | 08/22/2018 |
| Last Update Date | 04/03/2023 |
| Certification Date | 04/03/2023 |
| Medicare PECOS PAC ID | 9931542313 |
|---|---|
| Medicare Enrollment ID | O20240213002976 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881175586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Marc Geroux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154751774 PECOS PAC ID: 1759724131 Enrollment ID: I20240213003113 |
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