| B-well Counseling Llc | |
|
2535 E Mount Hope Ave Lansing MI 48910-1913 | |
| (616) 648-2277 | |
| Not Available |
| Full Name | B-well Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2535 E Mount Hope Ave, Lansing, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| B-well Counseling Llc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | B-well Counseling Llc 2535 E Mount Hope Ave Lansing MI 48910-1913 Ph: (616) 648-2277 |
| NPI Number | 1073050506 |
|---|---|
| Provider Enumeration Date | 01/23/2017 |
| Last Update Date | 02/08/2021 |
| Certification Date | 02/08/2021 |
| Medicare PECOS PAC ID | 0648553909 |
|---|---|
| Medicare Enrollment ID | O20170210000965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073050506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | 6801097098 (Michigan) | Secondary |
| Provider Name | Rachelle L Justice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508272733 PECOS PAC ID: 3173835584 Enrollment ID: I20150626001171 |
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