| Non-profit Orginization | |
|
2895 W. Grand River Ave Howell MI 48843 | |
| (517) 545-5944 | |
| (517) 545-7390 |
| Full Name | Non-profit Orginization |
|---|---|
| Speciality | Counselor |
| Location | 2895 W. Grand River Ave, Howell, Michigan |
| Authorized Official Name and Position | Adam Perry (DIRECTOR) |
| Authorized Official Contact | 5175455944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Non-profit Orginization 2895 W. Grand River Ave Howell MI 48843 Ph: (517) 545-5944 | Non-profit Orginization 2895 W. Grand River Ave Howell MI 48843 Ph: (517) 545-5944 |
| NPI Number | 1801904594 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 09/29/2025 |
| Certification Date | 09/29/2025 |
| Medicare PECOS PAC ID | 8527972223 |
|---|---|
| Medicare Enrollment ID | O20031117000841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801904594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| Provider Name | Joanne M Belloli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831106517 PECOS PAC ID: 8224937271 Enrollment ID: I20040108000230 |
| Provider Name | Michael D Stuart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053328732 PECOS PAC ID: 7719972140 Enrollment ID: I20040416000064 |
| Provider Name | Megan P Vaccaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033126719 PECOS PAC ID: 4587643077 Enrollment ID: I20040719000031 |
| Provider Name | Laurie J Vukonich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508027764 PECOS PAC ID: 0143394056 Enrollment ID: I20080811000115 |
| Provider Name | Robert William Ellis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124006549 PECOS PAC ID: 0143404087 Enrollment ID: I20110418000559 |
| Provider Name | Maryanne P Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427328574 PECOS PAC ID: 2365618253 Enrollment ID: I20111227000031 |
| Provider Name | Holly M Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356823538 PECOS PAC ID: 4789092313 Enrollment ID: I20210421000660 |
| Provider Name | Ellen M Keefe-garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356922611 PECOS PAC ID: 6406255751 Enrollment ID: I20210519000670 |
| Provider Name | Lisa Heximer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396049870 PECOS PAC ID: 0547613069 Enrollment ID: I20240131001931 |
| Provider Name | Laura J Wertz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700999836 PECOS PAC ID: 6103236500 Enrollment ID: I20240223000646 |
| Provider Name | Amy M Buell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124851969 PECOS PAC ID: 4082144977 Enrollment ID: I20250206003262 |
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