| Merrell Recovery Associates Pllc | |
|
41 Washington Ave Suite 368 Grand Haven MI 49417-1390 | |
| (616) 844-7003 | |
| (616) 844-7003 |
| Full Name | Merrell Recovery Associates Pllc |
|---|---|
| Speciality | Counselor |
| Location | 41 Washington Ave, Grand Haven, Michigan |
| Authorized Official Name and Position | Joseph Merrell (OWNER) |
| Authorized Official Contact | 6168447003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Merrell Recovery Associates Pllc Po Box 841 Grand Haven MI 49417-0841 Ph: (616) 844-7003 | Merrell Recovery Associates Pllc 41 Washington Ave Suite 368 Grand Haven MI 49417-1390 Ph: (616) 844-7003 |
| NPI Number | 1750616892 |
|---|---|
| Provider Enumeration Date | 10/07/2009 |
| Last Update Date | 10/13/2016 |
| Medicare PECOS PAC ID | 1355629924 |
|---|---|
| Medicare Enrollment ID | O20161102001077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750616892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6801016149 (Michigan) | Primary |
| Provider Name | Joseph Merrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710152855 PECOS PAC ID: 2769545698 Enrollment ID: I20090120000375 |
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