Changing Course Counseling, Plc | |
1423 Pine Grove Avenue Port Huron MI 48060 | |
(810) 357-9318 | |
(810) 479-9684 |
Full Name | Changing Course Counseling, Plc |
---|---|
Speciality | Social Worker |
Location | 1423 Pine Grove Avenue, Port Huron, Michigan |
Authorized Official Name and Position | Kelle S Wood (LMSW/OWNER) |
Authorized Official Contact | 8103579318 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Changing Course Counseling, Plc 1423 Pine Grove Avenue Port Huron MI 48060 Ph: (810) 357-9318 | Changing Course Counseling, Plc 1423 Pine Grove Avenue Port Huron MI 48060 Ph: (810) 357-9318 |
NPI Number | 1114356649 |
---|---|
Provider Enumeration Date | 11/05/2013 |
Last Update Date | 04/26/2019 |
Medicare PECOS PAC ID | 8426276064 |
---|---|
Medicare Enrollment ID | O20140825000303 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114356649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Kelle S Wood |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164465084 PECOS PAC ID: 0345422200 Enrollment ID: I20110314000733 |
Anchor Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1423 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-990-8720 | |
Dr. M. Rousseau, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 732 Holland Ave, Port Huron, MI 48060 Phone: 810-434-6280 | |
St. Clair County Sheriff Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1170 Michigan Rd, Port Huron, MI 48060 Phone: 810-966-1625 Fax: 810-966-4306 | |
St Clair County Community Mental Health Authority Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900 | |
Flint Odyssey House, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1431 Lapeer Ave, Port Huron, MI 48060 Phone: 810-238-7226 | |
Zoe Counseling And Consulting, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3003 Moak St, Port Huron, MI 48060 Phone: 810-982-8144 |