| Healing Place Counseling Pllc | |
|
800 E Ellis Rd Ste 111 Norton Shores MI 49441-5622 | |
| (231) 288-6591 | |
| (231) 354-3517 |
| Full Name | Healing Place Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 800 E Ellis Rd Ste 111, Norton Shores, Michigan |
| Authorized Official Name and Position | Dawn M Wilburn (THERAPIST) |
| Authorized Official Contact | 2312886591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Place Counseling Pllc 800 E Ellis Rd Ste 111 Norton Shores MI 49441-5622 Ph: (231) 288-6591 | Healing Place Counseling Pllc 800 E Ellis Rd Ste 111 Norton Shores MI 49441-5622 Ph: (231) 288-6591 |
| NPI Number | 1730572777 |
|---|---|
| Provider Enumeration Date | 03/16/2015 |
| Last Update Date | 08/23/2024 |
| Certification Date | 08/21/2024 |
| Medicare PECOS PAC ID | 6709324650 |
|---|---|
| Medicare Enrollment ID | O20240810000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730572777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Jasmine D Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487010641 PECOS PAC ID: 6800139437 Enrollment ID: I20190522000183 |
| Provider Name | Dawn Wilburn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477944536 PECOS PAC ID: 0244770840 Enrollment ID: I20240812002340 |
| Provider Name | Jennifer Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275847964 PECOS PAC ID: 9335689637 Enrollment ID: I20240913000585 |
| Provider Name | Bryan Salminen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194284067 PECOS PAC ID: 1951833367 Enrollment ID: I20241010000406 |
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