| Shores Wellness And Counseling, Pllc | |
|
794 Pine Street Suite 230-o Muskegon MI 49442 | |
| (231) 375-7873 | |
| (231) 788-9162 |
| Full Name | Shores Wellness And Counseling, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 794 Pine Street, Muskegon, Michigan |
| Authorized Official Name and Position | Brishia Kluck (OWNER) |
| Authorized Official Contact | 2313757873 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shores Wellness And Counseling, Pllc 794 Pine Street Suite 230-o Muskegon MI 49442 Ph: (231) 375-7873 | Shores Wellness And Counseling, Pllc 794 Pine Street Suite 230-o Muskegon MI 49442 Ph: (231) 375-7873 |
| NPI Number | 1194407783 |
|---|---|
| Provider Enumeration Date | 08/02/2023 |
| Last Update Date | 12/06/2023 |
| Certification Date | 08/02/2023 |
| Medicare PECOS PAC ID | 5395197354 |
|---|---|
| Medicare Enrollment ID | O20240116002197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194407783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brishia L Kluck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538437751 PECOS PAC ID: 9436425279 Enrollment ID: I20171024001141 |
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