Shorepointe Counseling P.l.c. | |
23409 Jefferson Ave Suite 100 Saint Clair Shores MI 48080-3449 | |
(313) 590-4740 | |
Not Available |
Full Name | Shorepointe Counseling P.l.c. |
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Speciality | Community/Behavioral Health |
Location | 23409 Jefferson Ave, Saint Clair Shores, Michigan |
Authorized Official Name and Position | Laura Anne Bloom (OWNER) |
Authorized Official Contact | 3135904740 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shorepointe Counseling P.l.c. 23409 Jefferson Ave Suite 100 Saint Clair Shores MI 48080-3449 Ph: (313) 590-4740 | Shorepointe Counseling P.l.c. 23409 Jefferson Ave Suite 100 Saint Clair Shores MI 48080-3449 Ph: (313) 590-4740 |
NPI Number | 1881128627 |
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Provider Enumeration Date | 04/19/2017 |
Last Update Date | 04/19/2017 |
Medicare PECOS PAC ID | 0547547010 |
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Medicare Enrollment ID | O20170510001885 |
Identifier | Type | State | Issuer |
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1881128627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | 6801092345 (Michigan) | Primary |
Provider Name | Joanne F Denison |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538104211 PECOS PAC ID: 9739210618 Enrollment ID: I20100622000630 |
Provider Name | Laura A Bloom |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326392531 PECOS PAC ID: 2062664386 Enrollment ID: I20121213000434 |
Provider Name | Megan N Holscher |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841675055 PECOS PAC ID: 7416263280 Enrollment ID: I20150825004590 |
Provider Name | Michele L Puzzuoli |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619028040 PECOS PAC ID: 9638451461 Enrollment ID: I20170131000656 |
Provider Name | Elizabeth Masserang |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831463546 PECOS PAC ID: 6406225630 Enrollment ID: I20230620003266 |
Provider Name | Thomas A. Verkest |
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Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1962571547 PECOS PAC ID: 4789026246 Enrollment ID: I20240529002887 |
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