| Independence Counseling And Psychological Services Pc | |
|
745 S Walnut St Howell MI 48843-2579 | |
| (517) 376-3002 | |
| Not Available |
| Full Name | Independence Counseling And Psychological Services Pc |
|---|---|
| Speciality | Psychologist |
| Location | 745 S Walnut St, Howell, Michigan |
| Authorized Official Name and Position | Stephanie Lynn Hillebrand (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 5173763002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Independence Counseling And Psychological Services Pc 745 S Walnut St Howell MI 48843-2579 Ph: (517) 376-3002 | Independence Counseling And Psychological Services Pc 745 S Walnut St Howell MI 48843-2579 Ph: (517) 376-3002 |
| NPI Number | 1255963815 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 07/21/2022 |
| Certification Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9133539158 |
|---|---|
| Medicare Enrollment ID | O20201103001538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255963815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stephanie L Hillebrand |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902064751 PECOS PAC ID: 9830406404 Enrollment ID: I20150915000163 |
| Provider Name | Brandon Yerebeck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346804499 PECOS PAC ID: 9830532563 Enrollment ID: I20240208004155 |
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