| Sisu Counseling Services Llc | |
|
11831 Maple Rd Birch Run MI 48415-8487 | |
| (989) 341-3626 | |
| Not Available |
| Full Name | Sisu Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 11831 Maple Rd, Birch Run, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sisu Counseling Services Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Sisu Counseling Services Llc 11831 Maple Rd Birch Run MI 48415-8487 Ph: (989) 341-3626 |
| NPI Number | 1366166050 |
|---|---|
| Provider Enumeration Date | 09/27/2022 |
| Last Update Date | 09/27/2022 |
| Certification Date | 09/27/2022 |
| Medicare PECOS PAC ID | 5193177095 |
|---|---|
| Medicare Enrollment ID | O20240116003613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366166050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Carrie Corlew-thayer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275767600 PECOS PAC ID: 6901257369 Enrollment ID: I20240110001302 |
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