| Jennifer Kates, Lmsw Llc | |
|
36 W 8th St Ste 200 Holland MI 49423-2702 | |
| (616) 994-2663 | |
| (866) 212-5601 |
| Full Name | Jennifer Kates, Lmsw Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 36 W 8th St Ste 200, Holland, Michigan |
| Authorized Official Name and Position | Jennifer Wilson Kates (OWNER) |
| Authorized Official Contact | 6169942663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Kates, Lmsw Llc 36 W 8th St Ste 200 Holland MI 49423-2702 Ph: (616) 994-2663 | Jennifer Kates, Lmsw Llc 36 W 8th St Ste 200 Holland MI 49423-2702 Ph: (616) 994-2663 |
| NPI Number | 1457916173 |
|---|---|
| Provider Enumeration Date | 05/08/2019 |
| Last Update Date | 05/08/2019 |
| Medicare PECOS PAC ID | 6103237722 |
|---|---|
| Medicare Enrollment ID | O20201202002236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457916173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jennifer W Kates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659688232 PECOS PAC ID: 9931225885 Enrollment ID: I20100928001212 |
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