| Mindful Crossroads Counseling Services, Llc | |
|
6000 Tory Ln Chelsea MI 48118-9437 | |
| (802) 343-0069 | |
| Not Available |
| Full Name | Mindful Crossroads Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6000 Tory Ln, Chelsea, Michigan |
| Authorized Official Name and Position | Allie Lyn Vansickle (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 8023430069 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Crossroads Counseling Services, Llc 6000 Tory Ln Chelsea MI 48118-9437 Ph: (802) 343-0069 | Mindful Crossroads Counseling Services, Llc 6000 Tory Ln Chelsea MI 48118-9437 Ph: (802) 343-0069 |
| NPI Number | 1740903517 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 11/02/2022 |
| Certification Date | 11/02/2022 |
| Medicare PECOS PAC ID | 2466829106 |
|---|---|
| Medicare Enrollment ID | O20221109000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740903517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Allie Vansickle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053875013 PECOS PAC ID: 0840693651 Enrollment ID: I20210730000367 |
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