| Heart Space Counseling | |
|
382 Hillcrest Ave Grosse Pointe Farms MI 48236-3150 | |
| (313) 522-2870 | |
| Not Available |
| Full Name | Heart Space Counseling |
|---|---|
| Speciality | Counselor |
| Location | 382 Hillcrest Ave, Grosse Pointe Farms, Michigan |
| Authorized Official Name and Position | Katharina Goebel (MEMBER) |
| Authorized Official Contact | 3135522870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Space Counseling 382 Hillcrest Ave Grosse Pointe Farms MI 48236-3150 Ph: () - | Heart Space Counseling 382 Hillcrest Ave Grosse Pointe Farms MI 48236-3150 Ph: (313) 522-2870 |
| NPI Number | 1962270504 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 12/13/2023 |
| Certification Date | 12/13/2023 |
| Medicare PECOS PAC ID | 9436592250 |
|---|---|
| Medicare Enrollment ID | O20240208003475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962270504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Katharina M Goebel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215523436 PECOS PAC ID: 1153764980 Enrollment ID: I20240208003535 |
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