| Fountain Of Wisdom And Hope Llc | |
|
4710 W Saginaw Hwy Ste 9 Lansing MI 48917-2654 | |
| (517) 615-8312 | |
| Not Available |
| Full Name | Fountain Of Wisdom And Hope Llc |
|---|---|
| Speciality | Counselor |
| Location | 4710 W Saginaw Hwy Ste 9, Lansing, Michigan |
| Authorized Official Name and Position | Antoinette Mallett (CEO) |
| Authorized Official Contact | 5176840577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain Of Wisdom And Hope Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Fountain Of Wisdom And Hope Llc 4710 W Saginaw Hwy Ste 9 Lansing MI 48917-2654 Ph: (517) 615-8312 |
| NPI Number | 1427619758 |
|---|---|
| Provider Enumeration Date | 06/26/2019 |
| Last Update Date | 08/17/2023 |
| Certification Date | 08/17/2023 |
| Medicare PECOS PAC ID | 7315351913 |
|---|---|
| Medicare Enrollment ID | O20210121002692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427619758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Darlene Marie Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649576612 PECOS PAC ID: 4880023944 Enrollment ID: I20200411000772 |
Jonathon Novello Lmsw Acsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2535 E Mount Hope Ave, Lansing, MI 48910 Phone: 517-290-7011 | |
Quiet Sky Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2535 E Mount Hope Ave, Lansing, MI 48910 Phone: 989-214-4238 | |
Twilight Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2326 S Pennsylvania Ave, Lansing, MI 48910 Phone: 517-648-3456 | |
Chance Happens Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15831 Brook Rd, Lansing, MI 48906 Phone: 309-648-1720 | |
517counseling And Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 W Holmes Rd Ste 4, Lansing, MI 48910 Phone: 517-763-3305 | |
Chosen & Anointed Wellness Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2708 Senate Dr Apt B101, Lansing, MI 48912 Phone: 517-927-3452 | |
Catholic Charities Of Ingham, Eaton And Clinton Counties Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2800 W Willow St, Lansing, MI 48917 Phone: 517-323-4734 |