| Freshwater Counseling Services Llc | |
|
1233 Anthony St Hancock MI 49930-1004 | |
| (906) 281-9202 | |
| Not Available |
| Full Name | Freshwater Counseling Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1233 Anthony St, Hancock, Michigan |
| Authorized Official Name and Position | Nicole Ubinger (OWNER) |
| Authorized Official Contact | 9062050777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freshwater Counseling Services Llc 1233 Anthony St Hancock MI 49930-1004 Ph: (906) 281-9202 | Freshwater Counseling Services Llc 1233 Anthony St Hancock MI 49930-1004 Ph: (906) 281-9202 |
| NPI Number | 1245832443 |
|---|---|
| Provider Enumeration Date | 11/12/2020 |
| Last Update Date | 11/12/2020 |
| Certification Date | 11/12/2020 |
| Medicare PECOS PAC ID | 8224487251 |
|---|---|
| Medicare Enrollment ID | O20231215000474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245832443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nicole Elizabeth Ubinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003423161 PECOS PAC ID: 9931577798 Enrollment ID: I20221129000666 |
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