| Gordon Counseling And Case Management Pllc | |
|
4463 Cricket Ridge Dr Apt 202 Holt MI 48842-2933 | |
| (517) 281-5718 | |
| Not Available |
| Full Name | Gordon Counseling And Case Management Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4463 Cricket Ridge Dr Apt 202, Holt, Michigan |
| Authorized Official Name and Position | Laurie R Gordon (OWNER) |
| Authorized Official Contact | 5172815718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Counseling And Case Management Pllc Po Box 43 Mason MI 48854-0043 Ph: (517) 623-6260 | Gordon Counseling And Case Management Pllc 4463 Cricket Ridge Dr Apt 202 Holt MI 48842-2933 Ph: (517) 281-5718 |
| NPI Number | 1528356474 |
|---|---|
| Provider Enumeration Date | 07/13/2011 |
| Last Update Date | 06/25/2012 |
| Medicare PECOS PAC ID | 5294982005 |
|---|---|
| Medicare Enrollment ID | O20120830000318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528356474 | NPI | - | NPPES |
| 8008975170 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801034871 (Michigan) | Primary |
| Provider Name | Laurie R. Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942387170 PECOS PAC ID: 5193612737 Enrollment ID: I20040301000123 |
| Provider Name | Gloria J Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396851168 PECOS PAC ID: 0345342036 Enrollment ID: I20070227000439 |
| Provider Name | Christie Herrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891853883 PECOS PAC ID: 9537358825 Enrollment ID: I20110119000101 |
| Provider Name | Brittany Orians |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467897074 PECOS PAC ID: 1254640329 Enrollment ID: I20151013000929 |
| Provider Name | Lisa Anne Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306325881 PECOS PAC ID: 4789921024 Enrollment ID: I20190124002993 |
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