| Still Space Counseling Llc | |
|
2202 Mitchell Park Dr Ste 2b Petoskey MI 49770-8897 | |
| (231) 487-2215 | |
| Not Available |
| Full Name | Still Space Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 2202 Mitchell Park Dr Ste 2b, Petoskey, Michigan |
| Authorized Official Name and Position | Adrienne J Shiels (OWNER) |
| Authorized Official Contact | 6169704761 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Still Space Counseling Llc 2202 Mitchell Park Dr Ste 2b Petoskey MI 49770-8897 Ph: (616) 970-4761 | Still Space Counseling Llc 2202 Mitchell Park Dr Ste 2b Petoskey MI 49770-8897 Ph: (231) 487-2215 |
| NPI Number | 1801408893 |
|---|---|
| Provider Enumeration Date | 08/20/2020 |
| Last Update Date | 05/28/2024 |
| Certification Date | 05/28/2024 |
| Medicare PECOS PAC ID | 6305287657 |
|---|---|
| Medicare Enrollment ID | O20240517000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801408893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Adrienne Josephine Shiels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053923045 PECOS PAC ID: 9032550397 Enrollment ID: I20240517000162 |
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