| Journey Through Change LLC | |
|
119 Pere Marquette Dr Ste 3b Lansing MI 48912-1270 | |
| (734) 531-7763 | |
| Not Available |
| Full Name | Journey Through Change LLC |
|---|---|
| Speciality | Psychologist |
| Location | 119 Pere Marquette Dr Ste 3b, Lansing, Michigan |
| Authorized Official Name and Position | Jessica Marie Charron (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5184108512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Through Change LLC 1408 Biscayne Way Haslett MI 48840-8410 Ph: (517) 410-8512 | Journey Through Change LLC 119 Pere Marquette Dr Ste 3b Lansing MI 48912-1270 Ph: (734) 531-7763 |
| NPI Number | 1528777158 |
|---|---|
| Provider Enumeration Date | 11/22/2022 |
| Last Update Date | 04/14/2026 |
| Certification Date | 04/14/2026 |
| Medicare PECOS PAC ID | 5092204099 |
|---|---|
| Medicare Enrollment ID | O20251030000314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528777158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (NU) | Primary |
| Provider Name | Jessica Charron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962604173 PECOS PAC ID: 9234209081 Enrollment ID: I20080605000099 |
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