| Hale Psychological Services Llc | |
|
4123 Presidents Way Dewitt MI 48820 | |
| (989) 307-8433 | |
| Not Available |
| Full Name | Hale Psychological Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 4123 Presidents Way, Dewitt, Michigan |
| Authorized Official Name and Position | Cathy Gallegos (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5174832461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hale Psychological Services Llc 4123 Presidents Way Dewitt MI 48820 Ph: (989) 307-8433 | Hale Psychological Services Llc 4123 Presidents Way Dewitt MI 48820 Ph: (989) 307-8433 |
| NPI Number | 1083453542 |
|---|---|
| Provider Enumeration Date | 05/23/2024 |
| Last Update Date | 05/23/2024 |
| Certification Date | 05/23/2024 |
| Medicare PECOS PAC ID | 6608310321 |
|---|---|
| Medicare Enrollment ID | O20240704000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083453542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Faith Hale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588201677 PECOS PAC ID: 4486199023 Enrollment ID: I20240708003735 |
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