| Third Age Counseling Llc | |
|
2762 Pine Dunes Ct Sw Wyoming MI 49418-9305 | |
| (616) 490-9118 | |
| (855) 490-2268 |
| Full Name | Third Age Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2762 Pine Dunes Ct Sw, Wyoming, Michigan |
| Authorized Official Name and Position | Cheryl Corcoran (OWNER) |
| Authorized Official Contact | 6164909118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Third Age Counseling Llc 2762 Pine Dunes Ct Sw Wyoming MI 49418-9305 Ph: (616) 490-9118 | Third Age Counseling Llc 2762 Pine Dunes Ct Sw Wyoming MI 49418-9305 Ph: (616) 490-9118 |
| NPI Number | 1881180651 |
|---|---|
| Provider Enumeration Date | 07/05/2018 |
| Last Update Date | 06/01/2021 |
| Certification Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881180651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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