| Innate Counseling, Llc | |
|
337 N Jebavy Dr Ludington MI 49431-2951 | |
| (231) 936-1199 | |
| (231) 421-7725 |
| Full Name | Innate Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 337 N Jebavy Dr, Ludington, Michigan |
| Authorized Official Name and Position | Jody Ingle Lmsw-c (OWNER) |
| Authorized Official Contact | 6167247513 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innate Counseling, Llc 1687 W Chilberg Rd Scottville MI 49454-9616 Ph: (616) 724-7513 | Innate Counseling, Llc 337 N Jebavy Dr Ludington MI 49431-2951 Ph: (231) 936-1199 |
| NPI Number | 1700471406 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 03/15/2021 |
| Certification Date | 03/15/2021 |
| Medicare PECOS PAC ID | 0244648335 |
|---|---|
| Medicare Enrollment ID | O20210408001524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700471406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jody Ingle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609302686 PECOS PAC ID: 5597186296 Enrollment ID: I20201012000378 |
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