| Melissa Muir Counseling Services Pllc | |
|
630 Kenmoor Ave Se Ste 101a Grand Rapids MI 49546-8626 | |
| (616) 446-8436 | |
| (616) 920-6536 |
| Full Name | Melissa Muir Counseling Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 630 Kenmoor Ave Se Ste 101a, Grand Rapids, Michigan |
| Authorized Official Name and Position | Melissa Muir (OWNER) |
| Authorized Official Contact | 6164468436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Muir Counseling Services Pllc 630 Kenmoor Ave Se Ste 101a Grand Rapids MI 49546-8626 Ph: (616) 446-8436 | Melissa Muir Counseling Services Pllc 630 Kenmoor Ave Se Ste 101a Grand Rapids MI 49546-8626 Ph: (616) 446-8436 |
| NPI Number | 1477019404 |
|---|---|
| Provider Enumeration Date | 02/14/2019 |
| Last Update Date | 10/18/2024 |
| Certification Date | 10/18/2024 |
| Medicare PECOS PAC ID | 6204361116 |
|---|---|
| Medicare Enrollment ID | O20241129000488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477019404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Meagan Ross |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710572821 PECOS PAC ID: 1951747278 Enrollment ID: I20240308002906 |
| Provider Name | Katie Kilmartin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225382120 PECOS PAC ID: 5597292367 Enrollment ID: I20241218003216 |
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