| Change Through Transition, Ltd | |
|
3375 Merriam St Ste 202 Muskegon MI 49444-3173 | |
| (586) 467-0447 | |
| Not Available |
| Full Name | Change Through Transition, Ltd |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3375 Merriam St Ste 202, Muskegon, Michigan |
| Authorized Official Name and Position | Elaine Marie Beauchamp (DIRECTOR) |
| Authorized Official Contact | 6162220851 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Through Transition, Ltd Po Box 150137 Grand Rapids MI 49515-0137 Ph: (616) 821-8111 | Change Through Transition, Ltd 3375 Merriam St Ste 202 Muskegon MI 49444-3173 Ph: (586) 467-0447 |
| NPI Number | 1326560970 |
|---|---|
| Provider Enumeration Date | 07/14/2017 |
| Last Update Date | 06/23/2023 |
| Certification Date | 06/23/2023 |
| Medicare PECOS PAC ID | 7012282585 |
|---|---|
| Medicare Enrollment ID | O20171009003586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326560970 | NPI | - | NPPES |
| 1568717635 | Other | MI | NPI |
| 6801057813 | Other | MI | SW LICENSE |
| Provider Name | Elaine M Beauchamp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568717635 PECOS PAC ID: 2365743713 Enrollment ID: I20151209001445 |
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