| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/08/2018 |
| Last Update Date | 10/01/2018 |
| Medicare PECOS PAC ID | 9931458403 |
|---|---|
| Medicare Enrollment ID | O20180816000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972096543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801092806 (Michigan) | Primary |
| Provider Name | Tamara R-k Shiflett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467903963 PECOS PAC ID: 0547549776 Enrollment ID: I20161110002631 |
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