| Fox Counseling Services Of West Michigan Llc | |
|
1752 Fay St Lowell MI 49331-9666 | |
| (616) 528-0059 | |
| Not Available |
| Full Name | Fox Counseling Services Of West Michigan Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1752 Fay St, Lowell, Michigan |
| Authorized Official Name and Position | Thomas Jacob Fox (OWNER/SOLE PROPRITOR) |
| Authorized Official Contact | 6165280059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Counseling Services Of West Michigan Llc 1752 Fay St Lowell MI 49331-9666 Ph: (616) 528-0059 | Fox Counseling Services Of West Michigan Llc 1752 Fay St Lowell MI 49331-9666 Ph: (616) 528-0059 |
| NPI Number | 1962072926 |
|---|---|
| Provider Enumeration Date | 06/30/2021 |
| Last Update Date | 06/30/2021 |
| Certification Date | 06/25/2021 |
| Medicare PECOS PAC ID | 7618371469 |
|---|---|
| Medicare Enrollment ID | O20210802002260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962072926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Thomas J Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578834867 PECOS PAC ID: 8022265214 Enrollment ID: I20120822000763 |
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