| Kalamazoo Neurofeedback And Counseling Center | |
|
721 W Centre Ave Portage MI 49024-5309 | |
| (269) 330-7030 | |
| (269) 532-1907 |
| Full Name | Kalamazoo Neurofeedback And Counseling Center |
|---|---|
| Speciality | Social Worker |
| Location | 721 W Centre Ave, Portage, Michigan |
| Authorized Official Name and Position | Barbara Joanne O'rourke (OWNER AND THERAPIST) |
| Authorized Official Contact | 2693307030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kalamazoo Neurofeedback And Counseling Center 721 W Centre Ave Portage MI 49024-5309 Ph: (269) 330-7030 | Kalamazoo Neurofeedback And Counseling Center 721 W Centre Ave Portage MI 49024-5309 Ph: (269) 330-7030 |
| NPI Number | 1528518313 |
|---|---|
| Provider Enumeration Date | 10/05/2016 |
| Last Update Date | 10/05/2016 |
| Medicare PECOS PAC ID | 8729366778 |
|---|---|
| Medicare Enrollment ID | O20161026002981 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528518313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801095473 (Michigan) | Primary |
| Provider Name | Barbara Joanne Orourke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417395393 PECOS PAC ID: 9638457682 Enrollment ID: I20161026003066 |
| Provider Name | Breanna Combest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013541879 PECOS PAC ID: 8628457926 Enrollment ID: I20220616001056 |
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