| James Sherrill Llc | |
|
6250 Cline Rd Fruitport MI 49415-9795 | |
| (231) 213-0923 | |
| Not Available |
| Full Name | James Sherrill Llc |
|---|---|
| Speciality | Counselor |
| Location | 6250 Cline Rd, Fruitport, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James Sherrill Llc Po Box 10 Mason MI 48854-0010 Ph: () - | James Sherrill Llc 6250 Cline Rd Fruitport MI 49415-9795 Ph: (231) 213-0923 |
| NPI Number | 1538880463 |
|---|---|
| Provider Enumeration Date | 09/08/2022 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Medicare PECOS PAC ID | 6406397983 |
|---|---|
| Medicare Enrollment ID | O20240924003272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538880463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | James Sherrill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629503818 PECOS PAC ID: 7214478791 Enrollment ID: I20240924003411 |
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