| Shining Light Counseling, Llc | |
|
48465 Van Dyke Ave Ste A Shelby Township MI 48317-3272 | |
| (586) 488-3175 | |
| Not Available |
| Full Name | Shining Light Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 48465 Van Dyke Ave Ste A, Shelby Township, Michigan |
| Authorized Official Name and Position | Erica Chavez (OWNER/COUNSELOR) |
| Authorized Official Contact | 5862437175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Light Counseling, Llc 364 Huntington Ct Rochester Hills MI 48307-3439 Ph: (586) 243-7175 | Shining Light Counseling, Llc 48465 Van Dyke Ave Ste A Shelby Township MI 48317-3272 Ph: (586) 488-3175 |
| NPI Number | 1528561628 |
|---|---|
| Provider Enumeration Date | 03/14/2018 |
| Last Update Date | 06/19/2020 |
| Certification Date | 06/19/2020 |
| Medicare PECOS PAC ID | 8224475355 |
|---|---|
| Medicare Enrollment ID | O20240325001265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528561628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Erica I Chavez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073013579 PECOS PAC ID: 6305284605 Enrollment ID: I20240405000924 |
| Provider Name | Leah L Lambrix |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366027450 PECOS PAC ID: 8820438203 Enrollment ID: I20240502000813 |
| Provider Name | Aprile L Klaser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790205847 PECOS PAC ID: 3971943374 Enrollment ID: I20240502001721 |
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