| Mark Dyke, LPC | |
|
4124 56th St Sw Ste 4, Wyoming, MI 49418-9494 | |
| (616) 222-0631 | |
| Not Available |
| Full Name | Mark Dyke |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 4124 56th St Sw Ste 4, Wyoming, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932589074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6401223230 (Michigan) | Primary |
| Entity Name | Burke Group Counseling & Consulting Professionals Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639593627 PECOS PAC ID: 6103190335 Enrollment ID: O20170926003925 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Dyke, LPC 2295 Van Buren St, Hudsonville, MI 49426-6400 Ph: (616) 401-2850 | Mark Dyke, LPC 4124 56th St Sw Ste 4, Wyoming, MI 49418-9494 Ph: (616) 222-0631 |
Ms. Marin Hann, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3500 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-208-9337 | |
Ryan Hanberry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1843 Rw Berends Dr Sw, Wyoming, MI 49519 Phone: 616-773-2908 Fax: 616-532-3046 | |
Yolanda Ivens, MSMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1843 R W Berends Dr Sw, Wyoming, MI 49519 Phone: 786-333-6881 | |
Amy L Keas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1843 Rw Berends Dr Sw, Wyoming, MI 49519 Phone: 616-773-2908 Fax: 616-532-3046 | |
Aaron Knapp, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1055 Gezon Pkwy Sw, Wyoming, MI 49509 Phone: 616-773-2908 | |
Andrea Elizabeth Nagurski, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1751 Havana Ave Sw, Wyoming, MI 49509 Phone: 616-238-1422 | |
Hope Welch, MA, LLPC, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2561 Woodlake Rd Sw Apt 6, Wyoming, MI 49519 Phone: 248-720-8263 |