| Sg Counseling & Consulting Plc | |
|
523 W Ionia St Lansing MI 48933-1085 | |
| (517) 775-3871 | |
| (517) 323-9531 |
| Full Name | Sg Counseling & Consulting Plc |
|---|---|
| Speciality | Counselor |
| Location | 523 W Ionia St, Lansing, Michigan |
| Authorized Official Name and Position | Cathy Gallegos (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5174832461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sg Counseling & Consulting Plc 523 W Ionia St Lansing MI 48933-1085 Ph: (517) 775-3871 | Sg Counseling & Consulting Plc 523 W Ionia St Lansing MI 48933-1085 Ph: (517) 775-3871 |
| NPI Number | 1255092722 |
|---|---|
| Provider Enumeration Date | 01/06/2022 |
| Last Update Date | 01/06/2022 |
| Certification Date | 01/06/2022 |
| Medicare PECOS PAC ID | 0749630101 |
|---|---|
| Medicare Enrollment ID | O20240126000180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255092722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Derrick Guty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629487194 PECOS PAC ID: 2567812928 Enrollment ID: I20231227001644 |
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