| Kellie Berger, LPC | |
|
600 N Broad St, Adrian, MI 49221-2132 | |
| (517) 403-2551 | |
| Not Available |
| Full Name | Kellie Berger |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 600 N Broad St, Adrian, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295383917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401014807 (Michigan) | Primary |
| Entity Name | Hestia Healing Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245869114 PECOS PAC ID: 9335682236 Enrollment ID: O20240620001192 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie Berger, LPC 1325 Michigan Ave, Adrian, MI 49221-2526 Ph: (517) 403-2551 | Kellie Berger, LPC 600 N Broad St, Adrian, MI 49221-2132 Ph: (517) 403-2551 |
Sadie Carrico, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 N Main St Ste 201, Adrian, MI 49221 Phone: 517-438-0045 | |
Whitney Alysse Puckey, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 N Main St, Adrian, MI 49221 Phone: 517-265-5352 Fax: 517-263-6090 | |
Ms. Kelly M. Clute, Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 W Maumee St, Adrian, MI 49221 Phone: 517-266-8880 | |
Sue Ann Kane, RN, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4650 W Us Highway 223, Adrian, MI 49221 Phone: 517-266-2588 Fax: 517-266-0224 | |
Ms. Kathleen J/ Betzoldt, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 W Maumee St, Adrian, MI 49221 Phone: 517-266-8880 | |
Mrs. Caroline Marie Zavala, MA, LPC, IMH-E(II) Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 Riverside Ave, Adrian, MI 49221 Phone: 313-757-2279 | |
Mr. Paul Farley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 N Broad St, Adrian, MI 49221 Phone: 517-260-9587 |