| Marcus Youngberg, LPC | |
|
5675 Fairview St, Stevensville, MI 49127-1033 | |
| (269) 429-7277 | |
| (269) 429-5754 |
| Full Name | Marcus Youngberg |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 5675 Fairview St, Stevensville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144014481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401225036 (Michigan) | Primary |
| 101YM0800X | Counselor - Mental Health | 6401225036 (Michigan) | Secondary |
| Entity Name | Lakeland Medical Practices |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Marcus Youngberg, LPC 5675 Fairview St, Stevensville, MI 49127-1033 Ph: () - | Marcus Youngberg, LPC 5675 Fairview St, Stevensville, MI 49127-1033 Ph: (269) 429-7277 |
Mr. Christopher T Alphenaar, LPC, LLP. CAADC Counselor Medicare: Medicare Enrolled Practice Location: 5710 Saint Joseph Ave, Stevensville, MI 49127 Phone: 269-240-4137 Fax: 269-588-3047 | |
Becka O'neil, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5675 Fairview St, Stevensville, MI 49127 Phone: 269-429-7727 | |
Robert Sanders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4661 Red Arrow Hwy, Stevensville, MI 49127 Phone: 269-281-7403 | |
Kara Youngblood, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5675 Fairview St, Stevensville, MI 49127 Phone: 269-429-7727 | |
Meredith Sheldon, LPC Counselor Medicare: Medicare Enrolled Practice Location: 5675 Fairview St, Stevensville, MI 49127 Phone: 269-429-7727 | |
Mary Gilliam-andres, M.A., L.L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5675 Fairview St, Stevensville, MI 49127 Phone: 269-429-7727 Fax: 269-429-5754 |