| 3 Corners Counseling Center | |
|
23200 Pontiac Trl Ste B South Lyon MI 48178-1983 | |
| (248) 222-1637 | |
| Not Available |
| Full Name | 3 Corners Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 23200 Pontiac Trl Ste B, South Lyon, Michigan |
| Authorized Official Name and Position | Jeffrey Zapor (OWNER) |
| Authorized Official Contact | 2482221637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 3 Corners Counseling Center 23200 Pontiac Trl Ste B South Lyon MI 48178-1983 Ph: (248) 222-1637 | 3 Corners Counseling Center 23200 Pontiac Trl Ste B South Lyon MI 48178-1983 Ph: (248) 222-1637 |
| NPI Number | 1760231146 |
|---|---|
| Provider Enumeration Date | 05/16/2024 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Medicare PECOS PAC ID | 3375076300 |
|---|---|
| Medicare Enrollment ID | O20241030001090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760231146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Amber Huida |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427700285 PECOS PAC ID: 1254779705 Enrollment ID: I20240403002998 |
| Provider Name | Jeffery Zapor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427597418 PECOS PAC ID: 9638223886 Enrollment ID: I20241227000587 |
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