| Freedom Counseling Center Inc | |
|
1901 Niles Ave Suite 102 Saint Joseph MI 49085-1615 | |
| (269) 982-7200 | |
| (269) 982-0202 |
| Full Name | Freedom Counseling Center Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1901 Niles Ave, Saint Joseph, Michigan |
| Authorized Official Name and Position | Timothy W. Mcvay (PRESIDENT) |
| Authorized Official Contact | 2699827200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Counseling Center Inc 1901 Niles Ave Suite 102 Saint Joseph MI 49085-1615 Ph: (269) 982-7200 | Freedom Counseling Center Inc 1901 Niles Ave Suite 102 Saint Joseph MI 49085-1615 Ph: (269) 982-7200 |
| NPI Number | 1083838361 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 12/08/2023 |
| Certification Date | 12/08/2023 |
| Medicare PECOS PAC ID | 6608005046 |
|---|---|
| Medicare Enrollment ID | O20140206000859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083838361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 6301010863 (Michigan) | Primary |
| Provider Name | Marcia K Wiinamaki |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942215553 PECOS PAC ID: 1153493689 Enrollment ID: I20080627000578 |
| Provider Name | Susan L Startup |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962562397 PECOS PAC ID: 8022263193 Enrollment ID: I20130222000134 |
| Provider Name | Claire E Mendenhall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437457991 PECOS PAC ID: 0345685574 Enrollment ID: I20240228000699 |
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