| Hackley Life Counseling | |
|
125 E Southern Ave Muskegon MI 49442 | |
| (231) 726-3582 | |
| (231) 722-6933 |
| Full Name | Hackley Life Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 125 E Southern Ave, Muskegon, Michigan |
| Authorized Official Name and Position | Michelle Lohman (REGIONAL DIRECTOR) |
| Authorized Official Contact | 2317274499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hackley Life Counseling 125 E Southern Ave Muskegon MI 49442-5041 Ph: (231) 726-3582 | Hackley Life Counseling 125 E Southern Ave Muskegon MI 49442 Ph: (231) 726-3582 |
| NPI Number | 1477795664 |
|---|---|
| Provider Enumeration Date | 04/02/2009 |
| Last Update Date | 11/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477795664 | NPI | - | NPPES |
| 20363 | Other | MI | BCBS SUBSTANCE ABUSE FACILITY |
| OF11088 | Other | MI | BCBS SOCIAL WORKER GROUP |
| 0910713 | Other | MI | BCBS - OUTPATIENT PSYCHIATRIC FACILITY |
| OF11343 | Other | MI | BCBS PSYCHOLOGIST GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 610004 (Michigan) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Michigan) | Primary |
County Of Muskegon Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 376 E Apple Avenue, Muskegon, MI 49442 Phone: 231-724-1111 Fax: 231-724-4188 | |
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