Suunta Integrative Health | |
1209 N 3rd St Marquette MI 49855-3009 | |
(906) 286-3254 | |
Not Available |
Full Name | Suunta Integrative Health |
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Speciality | Social Worker |
Location | 1209 N 3rd St, Marquette, Michigan |
Authorized Official Name and Position | Melissa Ann Copenhaver (OWNER) |
Authorized Official Contact | 9062863254 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Suunta Integrative Health 1600 Bayview Dr Marquette MI 49855-5025 Ph: (906) 286-3254 | Suunta Integrative Health 1209 N 3rd St Marquette MI 49855-3009 Ph: (906) 286-3254 |
NPI Number | 1720646508 |
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Provider Enumeration Date | 06/05/2019 |
Last Update Date | 04/17/2020 |
Certification Date | 04/17/2020 |
Medicare PECOS PAC ID | 8022340900 |
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Medicare Enrollment ID | O20191025000914 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720646508 | NPI | - | NPPES |
Provider Name | Ashley K Provost |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558728667 PECOS PAC ID: 1355605544 Enrollment ID: I20180516002657 |
Provider Name | Courtney Jukkala |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528597572 PECOS PAC ID: 7214267160 Enrollment ID: I20190919002053 |
Provider Name | Melissa Copenhaver |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598104572 PECOS PAC ID: 8921330804 Enrollment ID: I20191025000981 |
Provider Name | Gwen E Storm |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851611073 PECOS PAC ID: 6901231216 Enrollment ID: I20200115000113 |
Provider Name | Chelsea R Kuzmak-aho |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992304273 PECOS PAC ID: 5092128678 Enrollment ID: I20201229002278 |
Provider Name | Nisha Tebear-coolman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710366497 PECOS PAC ID: 6800296559 Enrollment ID: I20210616003622 |
Provider Name | Courtney King |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851967046 PECOS PAC ID: 3375904097 Enrollment ID: I20230727003255 |
Provider Name | Shelley M Brandow |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1609187855 PECOS PAC ID: 5991157307 Enrollment ID: I20240122003735 |
Provider Name | Nathan D Michels |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1396356358 PECOS PAC ID: 6608228853 Enrollment ID: I20240123004372 |
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