| Vanderheide Counseling Llc | |
|
7101 Broadmoor Ave Se Ste B Caledonia MI 49316-7330 | |
| (616) 330-0890 | |
| Not Available |
| Full Name | Vanderheide Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7101 Broadmoor Ave Se Ste B, Caledonia, Michigan |
| Authorized Official Name and Position | Michelle Vanderheide (OWNER) |
| Authorized Official Contact | 6163300890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanderheide Counseling Llc 6824 Rivers Edge Ln Middleville MI 49333-9184 Ph: () - | Vanderheide Counseling Llc 7101 Broadmoor Ave Se Ste B Caledonia MI 49316-7330 Ph: (616) 330-0890 |
| NPI Number | 1669126009 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Medicare PECOS PAC ID | 0143699454 |
|---|---|
| Medicare Enrollment ID | O20221208001718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669126009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Michelle A Vanderheide |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508495722 PECOS PAC ID: 6507288982 Enrollment ID: I20200612002555 |
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