| Family Therapy & Development Centers Inc | |
|
2460 Lakeshore Dr Saint Joseph MI 49085-1874 | |
| (269) 982-3832 | |
| (269) 281-0351 |
| Full Name | Family Therapy & Development Centers Inc |
|---|---|
| Speciality | Counselor |
| Location | 2460 Lakeshore Dr, Saint Joseph, Michigan |
| Authorized Official Name and Position | Janene Marie Donarski (OWNER AND THERAPIST) |
| Authorized Official Contact | 2699823832 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Therapy & Development Centers Inc 4384 Laurel Drive St Joseph MI 49085 Ph: (269) 982-3832 | Family Therapy & Development Centers Inc 2460 Lakeshore Dr Saint Joseph MI 49085-1874 Ph: (269) 982-3832 |
| NPI Number | 1295916187 |
|---|---|
| Provider Enumeration Date | 11/19/2007 |
| Last Update Date | 04/10/2013 |
| Medicare PECOS PAC ID | 9537192208 |
|---|---|
| Medicare Enrollment ID | O20050913001196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295916187 | NPI | - | NPPES |
| 62-79049 | Medicaid | MI |
| Provider Name | Robert Raymond Gerl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831169861 PECOS PAC ID: 9436167384 Enrollment ID: I20120202000609 |
| Provider Name | Janene M Donarski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508993247 PECOS PAC ID: 8325071095 Enrollment ID: I20130604000589 |
| Provider Name | Barbara C Gelder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447265152 PECOS PAC ID: 5597796011 Enrollment ID: I20150601000913 |
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