| Samantha Shump, LPC | |
|
4370 Chicago Dr Sw # 515, Grandville, MI 49418-1694 | |
| (616) 287-2283 | |
| Not Available |
| Full Name | Samantha Shump |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 4370 Chicago Dr Sw # 515, Grandville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649805003 | NPI | - | NPPES |
| 6401014857 | Other | MI | LPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401014857 (Michigan) | Primary |
| Entity Name | Suppression Expression Counseling, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811641855 PECOS PAC ID: 2365801933 Enrollment ID: O20230630000271 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Shump, LPC 4370 Chicago Dr Sw # 515, Grandville, MI 49418-1694 Ph: (616) 287-2283 | Samantha Shump, LPC 4370 Chicago Dr Sw # 515, Grandville, MI 49418-1694 Ph: (616) 287-2283 |
Byron Otoniel Salguero, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4230 Chaminade St Sw, Grandville, MI 49418 Phone: 616-510-9027 |
Sean Corbin, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 4565 Wilson Ave Sw Ste 1a, Grandville, MI 49418 Phone: 616-591-9000 |
Katherine Hauge, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 4301 Canal Ave Sw Ste 201b, Grandville, MI 49418 Phone: 616-202-6560 |
Angela Welch, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 44th St Sw, Grandville, MI 49418 Phone: 616-244-2246 |
Cassidy Vanmalsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3980 Chicago Dr Sw Ste 140, Grandville, MI 49418 Phone: 616-209-9295 |
Ms. Davison Sarai Nicholas, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 4370 Chicago Dr Sw, Grandville, MI 49418 Phone: 269-215-1454 |
Lisbet Brito, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4565 Wilson Ave Sw Ste 4a, Grandville, MI 49418 Phone: 616-591-9000 Fax: 616-432-3059 |