| Diversified Counseling And Consulting Services, Pllc | |
|
1004 S. Michigan Ave., Suite 203 Howell MI 48843 | |
| (517) 292-6966 | |
| (517) 292-2375 |
| Full Name | Diversified Counseling And Consulting Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1004 S. Michigan Ave., Suite 203, Howell, Michigan |
| Authorized Official Name and Position | Kelly M Shuler (OWNER) |
| Authorized Official Contact | 5172926966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversified Counseling And Consulting Services, Pllc 1004 S. Michigan Ave., Suite 203 Howell MI 48843 Ph: (517) 292-6966 | Diversified Counseling And Consulting Services, Pllc 1004 S. Michigan Ave., Suite 203 Howell MI 48843 Ph: (517) 292-6966 |
| NPI Number | 1033571112 |
|---|---|
| Provider Enumeration Date | 03/28/2016 |
| Last Update Date | 01/31/2019 |
| Medicare PECOS PAC ID | 5294033494 |
|---|---|
| Medicare Enrollment ID | O20160420001796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033571112 | NPI | - | NPPES |
| 1033571112 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kelly M Shuler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356581417 PECOS PAC ID: 9436479490 Enrollment ID: I20150527001471 |
| Provider Name | Mark A Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932233756 PECOS PAC ID: 7113239641 Enrollment ID: I20150710002648 |
| Provider Name | Ashley N Mcclain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730426511 PECOS PAC ID: 9436440773 Enrollment ID: I20160616002527 |
| Provider Name | Kylene Frank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780243790 PECOS PAC ID: 1759750623 Enrollment ID: I20221215001904 |
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