| Journey Counseling Center, Llc | |
|
4771 2 Mile Rd Ste A Bay City MI 48706-2775 | |
| (989) 778-2323 | |
| (989) 778-2322 |
| Full Name | Journey Counseling Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4771 2 Mile Rd Ste A, Bay City, Michigan |
| Authorized Official Name and Position | Samantha Schalk (OWNER) |
| Authorized Official Contact | 9897782323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Counseling Center, Llc 4771 2 Mile Rd Ste A Bay City MI 48706-2775 Ph: (989) 778-2323 | Journey Counseling Center, Llc 4771 2 Mile Rd Ste A Bay City MI 48706-2775 Ph: (989) 778-2323 |
| NPI Number | 1043891088 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 04/20/2021 |
| Certification Date | 04/20/2021 |
| Medicare PECOS PAC ID | 2860898376 |
|---|---|
| Medicare Enrollment ID | O20210909000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043891088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carolyn Feeheley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437663267 PECOS PAC ID: 3476811506 Enrollment ID: I20171219003250 |
| Provider Name | Crystal Sombatphibane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528731627 PECOS PAC ID: 9436555844 Enrollment ID: I20210910001114 |
| Provider Name | Jennifer Macquarrie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174979819 PECOS PAC ID: 3173900529 Enrollment ID: I20220524002521 |
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