| Courageous Life Counseling | |
|
1200 W Eleventh St Ste 114 Traverse City MI 49684-3288 | |
| (231) 493-2111 | |
| (231) 525-2066 |
| Full Name | Courageous Life Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 W Eleventh St Ste 114, Traverse City, Michigan |
| Authorized Official Name and Position | Jodi Neumann (SOCIAL WORKER) |
| Authorized Official Contact | 2313139165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Courageous Life Counseling 5814 London Dr Traverse City MI 49685-8010 Ph: () - | Courageous Life Counseling 1200 W Eleventh St Ste 114 Traverse City MI 49684-3288 Ph: (231) 493-2111 |
| NPI Number | 1649788498 |
|---|---|
| Provider Enumeration Date | 01/15/2018 |
| Last Update Date | 11/15/2018 |
| Medicare PECOS PAC ID | 8527321389 |
|---|---|
| Medicare Enrollment ID | O20180410001225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649788498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 6801093452 (Michigan) | Primary |
| Provider Name | Jodi Brooke Neumann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346444643 PECOS PAC ID: 0143493296 Enrollment ID: I20111104000526 |
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