| Driftwood Counseling Services Llc | |
|
654 E Main St Owosso MI 48867-3222 | |
| (517) 749-2235 | |
| Not Available |
| Full Name | Driftwood Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 654 E Main St, Owosso, 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 |
|---|---|
| Driftwood Counseling Services Llc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Driftwood Counseling Services Llc 654 E Main St Owosso MI 48867-3222 Ph: (517) 749-2235 |
| NPI Number | 1194996496 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 08/24/2023 |
| Certification Date | 08/24/2023 |
| Medicare PECOS PAC ID | 4789034778 |
|---|---|
| Medicare Enrollment ID | O20240103003021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194996496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Shelly M Wiggins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821293010 PECOS PAC ID: 5698125680 Enrollment ID: I20240103003140 |
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