The Ledges Counseling Llc | |
214 S Bridge St Ste C Grand Ledge MI 48837-1587 | |
(517) 231-7394 | |
Not Available |
Full Name | The Ledges Counseling Llc |
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Speciality | Social Worker |
Location | 214 S Bridge St Ste C, Grand Ledge, 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 |
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The Ledges Counseling Llc Po Box 10 Mason MI 48854-0010 Ph: () - | The Ledges Counseling Llc 214 S Bridge St Ste C Grand Ledge MI 48837-1587 Ph: (517) 231-7394 |
NPI Number | 1972096543 |
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Provider Enumeration Date | 06/08/2018 |
Last Update Date | 11/07/2024 |
Certification Date | 11/07/2024 |
Medicare PECOS PAC ID | 9931458403 |
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Medicare Enrollment ID | O20180816000073 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972096543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Tamara R-k Shiflett |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467903963 PECOS PAC ID: 0547549776 Enrollment ID: I20161110002631 |
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