| Marc Geroux, | |
|
25 W Main St Ste B, Fremont, MI 49412-1186 | |
| (231) 349-0263 | |
| Not Available |
| Full Name | Marc Geroux |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 25 W Main St Ste B, Fremont, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154751774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 6401007841 (Michigan) | Primary |
| Entity Name | Resilient Minds Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881175586 PECOS PAC ID: 9931542313 Enrollment ID: O20240213002976 |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Geroux, 4894 S Centerline Rd, Newaygo, MI 49337-8784 Ph: () - | Marc Geroux, 25 W Main St Ste B, Fremont, MI 49412-1186 Ph: (231) 349-0263 |
Bunnita Marie Ouwinga, LLP Counselor Medicare: Not Enrolled in Medicare Practice Location: 4845 Snyder Ave, Fremont, MI 49412 Phone: 231-924-6920 | |
Anna Girgenti, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6995 W 48th St, Fremont, MI 49412 Phone: 231-335-1718 | |
Leslie A Anderson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6995 W 48th St, Fremont, MI 49412 Phone: 231-335-1718 | |
Ms. Michelle A Ross, MA,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 W Main St, Fremont, MI 49412 Phone: 231-924-7837 Fax: 231-924-9140 | |
Mrs. Sandy Terwillegar, MA, LLP Counselor Medicare: Not Enrolled in Medicare Practice Location: 4845 Snyder Ave, Fremont, MI 49412 Phone: 231-924-6920 | |
Salena Phillips-baker, Counselor Medicare: Medicare Enrolled Practice Location: 6995 W 48th St, Fremont, MI 49412 Phone: 231-335-1718 Fax: 231-422-0022 |