| Calm Creek Counseling Pllc | |
|
4370 Chicago Dr Sw # 113 Grandville MI 49418-1694 | |
| (616) 746-2493 | |
| Not Available |
| Full Name | Calm Creek Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 4370 Chicago Dr Sw # 113, Grandville, Michigan |
| Authorized Official Name and Position | Nancy Baldus (SOLE MEMBER) |
| Authorized Official Contact | 6165361991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calm Creek Counseling Pllc 4370 Chicago Dr Sw # 113 Grandville MI 49418-1694 Ph: (616) 745-2493 | Calm Creek Counseling Pllc 4370 Chicago Dr Sw # 113 Grandville MI 49418-1694 Ph: (616) 746-2493 |
| NPI Number | 1245922616 |
|---|---|
| Provider Enumeration Date | 05/24/2023 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Medicare PECOS PAC ID | 0244688760 |
|---|---|
| Medicare Enrollment ID | O20231122000770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245922616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nancy Baldus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619336070 PECOS PAC ID: 0345699377 Enrollment ID: I20231215000471 |
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