| Ms Davison Sarai Nicholas, LPC | |
|
4370 Chicago Dr Sw, Grandville, MI 49418-1694 | |
| (269) 215-1454 | |
| Not Available |
| Full Name | Ms Davison Sarai Nicholas |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 16 Years |
| Location | 4370 Chicago Dr Sw, Grandville, 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 |
|---|---|---|---|
| 1114273653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6401012436 (Michigan) | Secondary |
| 101YP2500X | Counselor - Professional | 6401019337 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Suppression Expression Counseling, Llc | 2365801933 | 3 |
| 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 |
|---|---|
| Ms Davison Sarai Nicholas, LPC 1116 Jackson Street, Kalamazoo, MI 49001 Ph: (269) 215-1454 | Ms Davison Sarai Nicholas, LPC 4370 Chicago Dr Sw, Grandville, MI 49418-1694 Ph: (269) 215-1454 |
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: Not Enrolled in Medicare Practice Location: 4565 Wilson Ave Sw Ste 1a, Grandville, MI 49418 Phone: 616-591-9000 | |
Angela Welch, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 44th St Sw, Grandville, MI 49418 Phone: 616-244-2246 | |
Mrs. Andrea Christine Lehman, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2976 Ivanrest Ave Sw 205, Grandville, MI 49505 Phone: 616-706-5702 | |
Cassidy Vanmalsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3980 Chicago Dr Sw Ste 140, Grandville, MI 49418 Phone: 616-209-9295 | |
Lisbet Brito, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 4565 Wilson Ave Sw Ste 4a, Grandville, MI 49418 Phone: 616-591-9000 Fax: 616-432-3059 |