| Christy Walker, MA, LPC | |
|
1595 W Centre Ave Ste 102, Portage, MI 49024-5341 | |
| (269) 246-2458 | |
| (269) 246-2460 |
| Full Name | Christy Walker |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 1595 W Centre Ave Ste 102, Portage, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659780476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 6401014030 (Michigan) | Primary |
| Entity Name | River of Life Counseling LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073246658 PECOS PAC ID: 2860844602 Enrollment ID: O20240117003912 |
| Mailing Address | Practice Location Address |
|---|---|
| Christy Walker, MA, LPC Po Box 1792, Portage, MI 49081-1792 Ph: Not Available | Christy Walker, MA, LPC 1595 W Centre Ave Ste 102, Portage, MI 49024-5341 Ph: (269) 246-2458 |
Mrs. Pamela Regina Robinson, LLMSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1151 W Milham Ave, Portage, MI 49024 Phone: 269-205-3356 |
Melissa Portia Fuller, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 7895 Currier Dr, Portage, MI 49002 Phone: 269-910-7327 |
Craig Bolthouse, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6070 Newport Rd, Portage, MI 49002 Phone: 269-409-3000 |
Casey Jo Haveman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 246 E Kilgore Rd, Portage, MI 49002 Phone: 269-249-7179 |
Tawanda Clarke, M.A., LPC, CAADC Counselor Medicare: May Accept Medicare Assignments Practice Location: 609 Southland Ave, Portage, MI 49024 Phone: 269-808-6556 |
Suzanne Degraves, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1591 W Centre Ave Ste 103&105, Portage, MI 49024 Phone: 269-323-2553 |
Gabrielle Loretta Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1595 W Centre Ave Ste 102, Portage, MI 49024 Phone: 269-246-2458 Fax: 269-459-1222 |