| Mrs Shelly Ann Wiewiora, LPC | |
|
1633 Peck St, Muskegon, MI 49441-2530 | |
| (231) 722-7770 | |
| (231) 722-7677 |
| Full Name | Mrs Shelly Ann Wiewiora |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1633 Peck St, Muskegon, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225280779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401009289 (Michigan) | Primary |
| Entity Name | Shelly Wiewiora Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740068048 PECOS PAC ID: 4284079179 Enrollment ID: O20240301001233 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shelly Ann Wiewiora, LPC 1633 Peck St, Muskegon, MI 49441-2530 Ph: (231) 722-7770 | Mrs Shelly Ann Wiewiora, LPC 1633 Peck St, Muskegon, MI 49441-2530 Ph: (231) 722-7770 |
Valerie A Porenta, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1095 3rd St, Muskegon, MI 49441 Phone: 231-726-4735 Fax: 231-722-0789 | |
Jennifer Roach, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1148 4th St, Muskegon, MI 49441 Phone: 231-726-2299 | |
Marjorie Cook, Counselor Medicare: Not Enrolled in Medicare Practice Location: 445 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-739-4359 Fax: 231-733-6151 | |
Ms. Lauren C Thomas, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 376 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-3636 | |
Monique L Winters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1470 Peck St, Muskegon, MI 49441 Phone: 231-724-3336 | |
Mr. Peter Jonas Chandler, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 173 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-6050 Fax: 231-724-6066 | |
Nicholas Bremer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 376 E Apple Ave, Muskegon, MI 49442 Phone: 231-724-1111 |