| Nora | |
|
24 N Saint Joseph Ave Ste C2 Niles MI 49120-2263 | |
| (269) 262-1815 | |
| Not Available |
| Full Name | Nora |
|---|---|
| Speciality | Counselor |
| Location | 24 N Saint Joseph Ave Ste C2, Niles, Michigan |
| Authorized Official Name and Position | Cullen Hardy (OWNER) |
| Authorized Official Contact | 2692621815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nora 20 N 2nd St Ste 103 Niles MI 49120-2259 Ph: (269) 262-1815 | Nora 24 N Saint Joseph Ave Ste C2 Niles MI 49120-2263 Ph: (269) 262-1815 |
| NPI Number | 1134625007 |
|---|---|
| Provider Enumeration Date | 04/01/2018 |
| Last Update Date | 02/20/2024 |
| Certification Date | 02/20/2024 |
| Medicare PECOS PAC ID | 9133567829 |
|---|---|
| Medicare Enrollment ID | O20240401000648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134625007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6401013717 (Michigan) | Primary |
| Provider Name | Bridget Green |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790033231 PECOS PAC ID: 4284072976 Enrollment ID: I20240401000744 |
| Provider Name | Lynn Marie Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770067290 PECOS PAC ID: 9931635489 Enrollment ID: I20241209000905 |
| Provider Name | Theresa Fry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396434643 PECOS PAC ID: 1254841869 Enrollment ID: I20250611002704 |
| Provider Name | Jamie Garvey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265995500 PECOS PAC ID: 6800216052 Enrollment ID: I20260218002919 |
| Provider Name | Devan N Keys |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598491938 PECOS PAC ID: 6204319593 Enrollment ID: I20260314000436 |
Robert Sepulveda LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 N 2nd St, Niles, MI 49120 Phone: 224-730-6601 |
Saundra L. Mortenson, Lmsw, LCSW, PLLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3130 S 11th St Ste 103, Niles, MI 49120 Phone: 219-861-6156 |
Haelan Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 N 3rd St, Niles, MI 49120 Phone: 269-683-8972 Fax: 269-683-0449 |
The Caerus Group LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 732 S. 11th St #197, Niles, MI 49120 Phone: 843-408-5971 |
Longevity Counseling Services, LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 121 S Saint Joseph Ave, Niles, MI 49120 Phone: 574-334-9594 |
Riverwood Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 S Saint Joseph Ave, Niles, MI 49120 Phone: 269-684-4270 Fax: 269-684-4070 |