| Calm Lake Counseling, Pllc | |
|
210 E Main St Unit 71 Niles MI 49120-2376 | |
| (269) 340-2770 | |
| Not Available |
| Full Name | Calm Lake Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 210 E Main St Unit 71, Niles, Michigan |
| Authorized Official Name and Position | Dawn Racht (OWNER) |
| Authorized Official Contact | 2693402770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calm Lake Counseling, Pllc 210 E Main St Unit 71 Niles MI 49120-2376 Ph: (269) 340-2770 | Calm Lake Counseling, Pllc 210 E Main St Unit 71 Niles MI 49120-2376 Ph: (269) 340-2770 |
| NPI Number | 1609573740 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Medicare PECOS PAC ID | 0345684312 |
|---|---|
| Medicare Enrollment ID | O20240217000093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609573740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Dawn Racht |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053948919 PECOS PAC ID: 1254775224 Enrollment ID: I20240217000106 |
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