| Homa Counseling Services Llc | |
|
4676 E Broomfield Rd Mt Pleasant MI 48858-9192 | |
| (989) 301-9729 | |
| Not Available |
| Full Name | Homa Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4676 E Broomfield Rd, Mt Pleasant, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Homa Counseling Services Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Homa Counseling Services Llc 4676 E Broomfield Rd Mt Pleasant MI 48858-9192 Ph: (989) 301-9729 |
| NPI Number | 1033622089 |
|---|---|
| Provider Enumeration Date | 11/13/2017 |
| Last Update Date | 12/02/2020 |
| Certification Date | 12/02/2020 |
| Medicare PECOS PAC ID | 3577824945 |
|---|---|
| Medicare Enrollment ID | O20180227001554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033622089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | 6801080739 (Michigan) | Secondary |
| Provider Name | Michelle M Homa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023415320 PECOS PAC ID: 6305160441 Enrollment ID: I20150121001318 |
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