| Amber K Shaw Counseling | |
|
721 Washington Ave Ste 507 Bay City MI 48708-5728 | |
| (989) 397-7703 | |
| Not Available |
| Full Name | Amber K Shaw Counseling |
|---|---|
| Speciality | Counselor |
| Location | 721 Washington Ave Ste 507, Bay City, Michigan |
| Authorized Official Name and Position | Amber Shaw (SOLE MEMBER) |
| Authorized Official Contact | 9893977703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amber K Shaw Counseling 721 Washington Ave Ste 507 Bay City MI 48708-5728 Ph: (989) 397-7703 | Amber K Shaw Counseling 721 Washington Ave Ste 507 Bay City MI 48708-5728 Ph: (989) 397-7703 |
| NPI Number | 1871206672 |
|---|---|
| Provider Enumeration Date | 12/27/2022 |
| Last Update Date | 02/08/2024 |
| Certification Date | 02/08/2024 |
| Medicare PECOS PAC ID | 6800333725 |
|---|---|
| Medicare Enrollment ID | O20240808002836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871206672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Amber K Shaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316402829 PECOS PAC ID: 9436696358 Enrollment ID: I20240808002964 |
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