| Mellanie Knox, | |
|
851 Wendover Blvd, Norton Shores, MI 49441-5053 | |
| (248) 298-9215 | |
| Not Available |
| Full Name | Mellanie Knox |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 851 Wendover Blvd, Norton Shores, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609207042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Harvest Center For Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093577678 PECOS PAC ID: 9931544707 Enrollment ID: O20240302000241 |
| Mailing Address | Practice Location Address |
|---|---|
| Mellanie Knox, 21840 Harding St, Oak Park, MI 48237-2523 Ph: (248) 298-9215 | Mellanie Knox, 851 Wendover Blvd, Norton Shores, MI 49441-5053 Ph: (248) 298-9215 |
Mrs. Jennie Sue Aylor, M.A. L.P.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 5353 Grand Haven Rd, Suite B, Norton Shores, MI 49441 Phone: 231-215-9684 | |
Ryan Ibarra, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 W Seaway Dr, Norton Shores, MI 49444 Phone: 231-375-8063 | |
Mark Reider, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3944 Grand Haven Rd Apt 204c, Norton Shores, MI 49441 Phone: 231-725-5487 | |
Shelly L Ellingboe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3611 Henry St, Norton Shores, MI 49441 Phone: 231-237-8898 | |
Mrs. Nakia Monet' Cooper, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3611 Henry St, Norton Shores, MI 49441 Phone: 231-237-8898 | |
Michael Rashaad Copeland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Randall Rd, Norton Shores, MI 49441 Phone: 231-246-6830 | |
Dawn Wilburn, MA, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 800 E Ellis Rd # 567, Norton Shores, MI 49441 Phone: 231-638-6367 Fax: 231-375-8138 |