| Mrs Lori Marie Hain, LMSW | |
|
412 Century Ln, Holland, MI 49423-4285 | |
| (616) 396-2301 | |
| (616) 396-8070 |
| Full Name | Mrs Lori Marie Hain |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 35 Years |
| Location | 412 Century Ln, Holland, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609945302 | NPI | - | NPPES |
| 6801068474 | Other | MI | SOCIAL WORKER STATE LICEN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | 6801068474 (Michigan) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Life Support Llc | 8527347756 | 6 |
| Entity Name | Summit Pointe |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700833555 PECOS PAC ID: 4587551189 Enrollment ID: O20040303000215 |
| Entity Name | Life Support Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437518875 PECOS PAC ID: 8527347756 Enrollment ID: O20161110002703 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lori Marie Hain, LMSW 5900 Brookfarm Dr Se, Grand Rapids, MI 49508-6559 Ph: (616) 455-6595 | Mrs Lori Marie Hain, LMSW 412 Century Ln, Holland, MI 49423-4285 Ph: (616) 396-2301 |
Ms. Beth E Cherin, MA, LPC, NCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 12930 James St, Holland, MI 49424 Phone: 248-613-5377 | |
Brianne Ilyse Roux, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12930 James St Ste 140, Holland, MI 49424 Phone: 616-422-7775 | |
Mrs. Rae Lynn Hooley, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 607 Heritage Ct, Holland, MI 49423 Phone: 616-396-6285 Fax: 616-396-6172 | |
Natalya Busscher, Counselor Medicare: Accepting Medicare Assignments Practice Location: 170 College Ave Ste 310, Holland, MI 49423 Phone: 616-426-9034 | |
Mrs. Elineke Vanderham, MA, LLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 170 College Ave Ste 310, Holland, MI 49423 Phone: 616-426-9034 | |
Ryan Pratt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2450 Van Ommen Dr Ste C, Holland, MI 49424 Phone: 616-350-7781 | |
Lori Gayle Wenglikowski, LMSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 412 Century Ln, Holland, MI 49423 Phone: 616-396-2301 Fax: 616-396-8070 |