| Mrs Denise Ann Boldt, | |
|
7678 Cottonwood Dr Ste C, Jenison, MI 49428-7312 | |
| (616) 426-9034 | |
| Not Available |
| Full Name | Mrs Denise Ann Boldt |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 7678 Cottonwood Dr Ste C, Jenison, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013452465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Second Story Counseling Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013460716 PECOS PAC ID: 6204292063 Enrollment ID: O20230520000165 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Denise Ann Boldt, 3872 Sundial Ave, Hudsonville, MI 49426-8423 Ph: (616) 896-7550 | Mrs Denise Ann Boldt, 7678 Cottonwood Dr Ste C, Jenison, MI 49428-7312 Ph: (616) 426-9034 |
Gracen Loraine Smit, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1348 Baldwin St, Jenison, MI 49428 Phone: 956-348-7515 | |
Bradley Stalker, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1348 Baldwin St, Jenison, MI 49428 Phone: 616-404-4564 | |
Mr. Nicholas J Melville, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1360 Baldwin St, Jenison, MI 49428 Phone: 616-202-1910 | |
Jennifer Brana, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1877 Georgetown Center Dr, Jenison, MI 49428 Phone: 616-795-0298 | |
Ms. Heather Louise O'brien, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1909 Elizabeth Ln, Jenison, MI 49428 Phone: 616-307-7706 | |
Nathan Apel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9058 Cottonwood Dr, Jenison, MI 49428 Phone: 616-710-2214 |