| Dove Of Peace Christian Counseling Pllc | |
|
51145 Washington St Ste H New Baltimore MI 48047-2100 | |
| (586) 443-1834 | |
| Not Available |
| Full Name | Dove Of Peace Christian Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 51145 Washington St Ste H, New Baltimore, Michigan |
| Authorized Official Name and Position | Mary M Grettenberger (OWNER) |
| Authorized Official Contact | 5864431834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dove Of Peace Christian Counseling Pllc 51145 Washington St Ste H New Baltimore MI 48047-2100 Ph: (586) 443-1834 | Dove Of Peace Christian Counseling Pllc 51145 Washington St Ste H New Baltimore MI 48047-2100 Ph: (586) 443-1834 |
| NPI Number | 1225746969 |
|---|---|
| Provider Enumeration Date | 11/11/2022 |
| Last Update Date | 11/11/2022 |
| Certification Date | 11/11/2022 |
| Medicare PECOS PAC ID | 5597137547 |
|---|---|
| Medicare Enrollment ID | O20230221001231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225746969 | NPI | - | NPPES |
| PENDING | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mary Mooney Grettenberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013520550 PECOS PAC ID: 6406228451 Enrollment ID: I20230221001380 |
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