| Laura Porter, | |
|
114 N Mitchell St, Cadillac, MI 49601-1833 | |
| (231) 846-4783 | |
| Not Available |
| Full Name | Laura Porter |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 114 N Mitchell St, Cadillac, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649758889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401005736 (Michigan) | Primary |
| Entity Name | Family Supportive Services Of Northern Michigan Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164943353 PECOS PAC ID: 5092051144 Enrollment ID: O20190109003415 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Porter, 220 Vick Ave, Cadillac, MI 49601-9241 Ph: (231) 510-4985 | Laura Porter, 114 N Mitchell St, Cadillac, MI 49601-1833 Ph: (231) 846-4783 |
Sarah Hubbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 527 Cobb St, Cadillac, MI 49601 Phone: 231-876-3248 Fax: 231-775-1692 | |
Ellen Evelyn Maxwell, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 S Carmel St, Cadillac, MI 49601 Phone: 231-775-6517 | |
Angela Sutton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2604 Sunnyside Dr, Cadillac, MI 49601 Phone: 906-263-0080 | |
Pamela L Wizner-randazzo, MA, LPC, CAADC Counselor Medicare: Medicare Enrolled Practice Location: 520 Cobb St, Cadillac, MI 49601 Phone: 231-775-6521 Fax: 231-775-1366 | |
Steven G. Wheeler, LMSW, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2721 Sunnyside Dr, Suite B, Cadillac, MI 49601 Phone: 231-468-2550 Fax: 231-468-2596 | |
Sheree Brooke Skinner, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 811 Sunnyside Dr, Cadillac, MI 49601 Phone: 231-775-6517 | |
Mrs. Milinda Kaye Cuddeback, LPC Counselor Medicare: Medicare Enrolled Practice Location: 805 S Carmel St, Cadillac, MI 49601 Phone: 231-775-6517 |