| Forward Light Counseling Services Pllc | |
|
7274 Dixie Hwy Bridgeport MI 48722-9702 | |
| (989) 249-3431 | |
| Not Available |
| Full Name | Forward Light Counseling Services Pllc |
|---|---|
| Speciality | Counselor |
| Location | 7274 Dixie Hwy, Bridgeport, Michigan |
| Authorized Official Name and Position | Rachel S Sherman (THERAPIST) |
| Authorized Official Contact | 9895291339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forward Light Counseling Services Pllc 11780 Downing Rd Birch Run MI 48415-9793 Ph: (989) 529-1339 | Forward Light Counseling Services Pllc 7274 Dixie Hwy Bridgeport MI 48722-9702 Ph: (989) 249-3431 |
| NPI Number | 1366082224 |
|---|---|
| Provider Enumeration Date | 01/08/2020 |
| Last Update Date | 08/12/2020 |
| Certification Date | 08/12/2020 |
| Medicare PECOS PAC ID | 5991149791 |
|---|---|
| Medicare Enrollment ID | O20240220004249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366082224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Rachel S Sherman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811380868 PECOS PAC ID: 8527402320 Enrollment ID: I20240220004307 |
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