| Longevity Counseling Services, Llc | |
|
121 S Saint Joseph Ave Niles MI 49120-2848 | |
| (574) 334-9594 | |
| Not Available |
| Full Name | Longevity Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 121 S Saint Joseph Ave, Niles, Michigan |
| Authorized Official Name and Position | Sarah Elizabeth Long (OWNER) |
| Authorized Official Contact | 5743349594 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Longevity Counseling Services, Llc 121 S Saint Joseph Ave Niles MI 49120-2848 Ph: (574) 334-9594 | Longevity Counseling Services, Llc 121 S Saint Joseph Ave Niles MI 49120-2848 Ph: (574) 334-9594 |
| NPI Number | 1184499394 |
|---|---|
| Provider Enumeration Date | 11/17/2023 |
| Last Update Date | 11/17/2023 |
| Certification Date | 11/17/2023 |
| Medicare PECOS PAC ID | 4183074602 |
|---|---|
| Medicare Enrollment ID | O20231226001590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184499394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sarah Elizabeth Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740936574 PECOS PAC ID: 4880081900 Enrollment ID: I20231226001602 |
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