| Center For Behavioral Management Pllc | |
|
1466 E Saint Joe Hwy Grand Ledge MI 48837-9719 | |
| (231) 944-6139 | |
| Not Available |
| Full Name | Center For Behavioral Management Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1466 E Saint Joe Hwy, Grand Ledge, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Behavioral Management Pllc Po Box 10 Mason MI 48854-0010 Ph: () - | Center For Behavioral Management Pllc 1466 E Saint Joe Hwy Grand Ledge MI 48837-9719 Ph: (231) 944-6139 |
| NPI Number | 1922581990 |
|---|---|
| Provider Enumeration Date | 09/14/2018 |
| Last Update Date | 09/14/2018 |
| Medicare PECOS PAC ID | 2466872478 |
|---|---|
| Medicare Enrollment ID | O20201013001947 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922581990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Steven D Hampton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962648576 PECOS PAC ID: 8224076476 Enrollment ID: I20050419001143 |
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