| Heinlen Counseling Pllc | |
|
3181 Prairie St Sw Ste 104 Grandville MI 49418-2076 | |
| (616) 537-2872 | |
| Not Available |
| Full Name | Heinlen Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 3181 Prairie St Sw Ste 104, Grandville, Michigan |
| Authorized Official Name and Position | Janice Irene Heinlen (OWNER/COUNSELOR) |
| Authorized Official Contact | 6165372872 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heinlen Counseling Pllc 3181 Prairie St Sw Ste 104 Grandville MI 49418-2076 Ph: (616) 537-2872 | Heinlen Counseling Pllc 3181 Prairie St Sw Ste 104 Grandville MI 49418-2076 Ph: (616) 537-2872 |
| NPI Number | 1285241463 |
|---|---|
| Provider Enumeration Date | 09/30/2020 |
| Last Update Date | 08/15/2023 |
| Certification Date | 08/15/2023 |
| Medicare PECOS PAC ID | 4688023765 |
|---|---|
| Medicare Enrollment ID | O20231214001961 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285241463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Janice Heinlen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194227439 PECOS PAC ID: 5597114678 Enrollment ID: I20231214002034 |
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