| Passionate Life Counseling | |
|
2922 Fuller Ave Ne Ste 116 Grand Rapids MI 49505-3459 | |
| (616) 208-5256 | |
| (616) 226-4838 |
| Full Name | Passionate Life Counseling |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2922 Fuller Ave Ne Ste 116, Grand Rapids, Michigan |
| Authorized Official Name and Position | Rachel Duhon (OWNER) |
| Authorized Official Contact | 6162085256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Passionate Life Counseling 2922 Fuller Ave Ne Ste 116 Grand Rapids MI 49505-3459 Ph: (616) 208-5256 | Passionate Life Counseling 2922 Fuller Ave Ne Ste 116 Grand Rapids MI 49505-3459 Ph: (616) 208-5256 |
| NPI Number | 1972102085 |
|---|---|
| Provider Enumeration Date | 10/20/2020 |
| Last Update Date | 05/13/2021 |
| Certification Date | 05/13/2021 |
| Medicare PECOS PAC ID | 9931551322 |
|---|---|
| Medicare Enrollment ID | O20240122002784 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972102085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Rachel Leah Duhon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184051633 PECOS PAC ID: 0840642237 Enrollment ID: I20240129002325 |
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