| Gerald Patrick O'hearn, MA, LPC | |
|
700 Hammond Rd E, Traverse City, MI 49686-8641 | |
| (231) 947-2255 | |
| Not Available |
| Full Name | Gerald Patrick O'hearn |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 700 Hammond Rd E, Traverse City, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851470165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401009181 (Michigan) | Primary |
| Entity Name | Pine Rest Christian Mental Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780695411 PECOS PAC ID: 4981506508 Enrollment ID: O20040213000149 |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald Patrick O'hearn, MA, LPC 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000 | Gerald Patrick O'hearn, MA, LPC 700 Hammond Rd E, Traverse City, MI 49686-8641 Ph: (231) 947-2255 |
Kimberly Manrique, M.S, L.P.C., A.T.R Counselor Medicare: Not Enrolled in Medicare Practice Location: 5798 Deer Trail Dr, Traverse City, MI 49684 Phone: 231-709-3177 | |
Breanne Ashly Pedersen, Counselor Medicare: Medicare Enrolled Practice Location: 3298 Veterans Dr Ste 1, Traverse City, MI 49684 Phone: 231-715-8466 Fax: 231-943-2263 | |
Ms. Angela Lynn Merriman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1844 Oak Hollow Dr Ste B, Traverse City, MI 49686 Phone: 231-714-0282 | |
Deanne R Briggs, LPC, CAC III Counselor Medicare: Medicare Enrolled Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-6380 Fax: 231-935-6920 | |
Mrs. Emily Knapp, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7150 Lake Leelanau Dr, Traverse City, MI 49684 Phone: 231-649-2126 | |
Terry Gorton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 E 8th St, Traverse City, MI 49684 Phone: 231-346-5221 Fax: 231-922-2095 | |
Jeanette Fay Peltola, PLC,MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 968 Harbor Ct, Traverse City, MI 49685 Phone: 231-632-1370 |