| Sacred Ground Counseling Llc | |
|
1108 Leonard St Ne Grand Rapids MI 49503-1274 | |
| (616) 238-0403 | |
| Not Available |
| Full Name | Sacred Ground Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1108 Leonard St Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Megan Besemer (OWNER/THERAPIST) |
| Authorized Official Contact | 6162380403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Ground Counseling Llc 1108 Leonard St Ne Grand Rapids MI 49503-1274 Ph: (616) 238-0403 | Sacred Ground Counseling Llc 1108 Leonard St Ne Grand Rapids MI 49503-1274 Ph: (616) 238-0403 |
| NPI Number | 1215507561 |
|---|---|
| Provider Enumeration Date | 06/29/2021 |
| Last Update Date | 06/29/2021 |
| Certification Date | 06/29/2021 |
| Medicare PECOS PAC ID | 4880083203 |
|---|---|
| Medicare Enrollment ID | O20211105000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215507561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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