| Suppression Expression Counseling, Llc | |
|
4370 Chicago Dr Sw # 515 Grandville MI 49418-1694 | |
| (616) 287-2283 | |
| Not Available |
| Full Name | Suppression Expression Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 4370 Chicago Dr Sw # 515, Grandville, Michigan |
| Authorized Official Name and Position | Samantha L Shump (OWNER) |
| Authorized Official Contact | 6162872283 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suppression Expression Counseling, Llc 4370 Chicago Dr Sw # 515 Grandville MI 49418-1694 Ph: (616) 287-2283 | Suppression Expression Counseling, Llc 4370 Chicago Dr Sw # 515 Grandville MI 49418-1694 Ph: (616) 287-2283 |
| NPI Number | 1811641855 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 07/21/2022 |
| Certification Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2365801933 |
|---|---|
| Medicare Enrollment ID | O20230630000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811641855 | NPI | - | NPPES |
| Provider Name | Natalie Pearce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659883189 PECOS PAC ID: 9830435858 Enrollment ID: I20190112000223 |
| Provider Name | Allyssa J Ballard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669017067 PECOS PAC ID: 1951737097 Enrollment ID: I20200207001450 |
| Provider Name | Jennifer Seeley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730819137 PECOS PAC ID: 7517320864 Enrollment ID: I20230905000229 |
| Provider Name | Arielle Saracinello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033806989 PECOS PAC ID: 6901269299 Enrollment ID: I20230905001799 |
| Provider Name | Rachel Scullion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235676818 PECOS PAC ID: 3971967266 Enrollment ID: I20230920000723 |
| Provider Name | Samantha Shump |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649805003 PECOS PAC ID: 4183083751 Enrollment ID: I20231223000139 |
| Provider Name | Holly Ann Normington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699489088 PECOS PAC ID: 9537519079 Enrollment ID: I20231227000579 |
| Provider Name | Davison Sarai Nicholas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114273653 PECOS PAC ID: 9234582727 Enrollment ID: I20240131004091 |
| Provider Name | Chelsie Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740797109 PECOS PAC ID: 6002269594 Enrollment ID: I20240131004300 |
| Provider Name | Ryan Leon Townes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699274431 PECOS PAC ID: 2264875301 Enrollment ID: I20240206002866 |
| Provider Name | Eric Thomas Weaver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740818509 PECOS PAC ID: 6709229859 Enrollment ID: I20240206003353 |
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