| Robert Deckert, LPC | |
|
17214 Van Wagoner Rd, Spring Lake, MI 49456-9702 | |
| (616) 405-4188 | |
| (616) 935-1288 |
| Full Name | Robert Deckert |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 17214 Van Wagoner Rd, Spring Lake, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700134319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.2202886 (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | 6401009234 (Michigan) | Primary |
| Entity Name | Bridgeworks Counseling And Consulting, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033854310 PECOS PAC ID: 8921443961 Enrollment ID: O20240229000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Deckert, LPC 3879 Rhodes Ave # 200, New Boston, OH 45662-6002 Ph: (616) 405-4188 | Robert Deckert, LPC 17214 Van Wagoner Rd, Spring Lake, MI 49456-9702 Ph: (616) 405-4188 |
Mr. Mark E Olsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-296-2130 | |
Kristine A Koetje, MA LPC LLP Counselor Medicare: Medicare Enrolled Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-296-2130 Fax: 162-962-1486 | |
Mr. Douglas Alan Wilson, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 231-799-8182 Fax: 616-296-2148 | |
Kyle John-arthur Parcher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-296-2130 | |
Leeanna April Peter, LPC Counselor Medicare: Medicare Enrolled Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-296-2130 | |
Amanda Vergin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 N Buchanan St, Spring Lake, MI 49456 Phone: 586-924-0125 | |
Dana Leigh Hood, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17214 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 231-670-0663 |