| Glv Innovations | |
|
5576 Weller Rd Gregory MI 48137-9524 | |
| (517) 285-8707 | |
| Not Available |
| Full Name | Glv Innovations |
|---|---|
| Speciality | Counselor |
| Location | 5576 Weller Rd, Gregory, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glv Innovations Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Glv Innovations 5576 Weller Rd Gregory MI 48137-9524 Ph: (517) 285-8707 |
| NPI Number | 1457743635 |
|---|---|
| Provider Enumeration Date | 02/25/2015 |
| Last Update Date | 03/15/2023 |
| Certification Date | 03/15/2023 |
| Medicare PECOS PAC ID | 2163867607 |
|---|---|
| Medicare Enrollment ID | O20240223003523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457743635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401000296 (Michigan) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Gail Vanamberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972561959 PECOS PAC ID: 4981049426 Enrollment ID: I20240223003576 |
Lauren Rill Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 281 Bullis Rd, Gregory, MI 48137 Phone: 517-258-0449 |