| Optimal Counseling Of Southwest Michigan Pllc | |
|
12020 Coon Hollow Rd Three Rivers MI 49093-9517 | |
| (269) 506-8744 | |
| Not Available |
| Full Name | Optimal Counseling Of Southwest Michigan Pllc |
|---|---|
| Speciality | Counselor |
| Location | 12020 Coon Hollow Rd, Three Rivers, Michigan |
| Authorized Official Name and Position | Wendy M Ludwig (COUNSELOR/OWNER) |
| Authorized Official Contact | 2695068744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Counseling Of Southwest Michigan Pllc 12020 Coon Hollow Rd Three Rivers MI 49093-9517 Ph: (269) 506-8744 | Optimal Counseling Of Southwest Michigan Pllc 12020 Coon Hollow Rd Three Rivers MI 49093-9517 Ph: (269) 506-8744 |
| NPI Number | 1023833944 |
|---|---|
| Provider Enumeration Date | 11/15/2024 |
| Last Update Date | 11/15/2024 |
| Certification Date | 11/15/2024 |
| Medicare PECOS PAC ID | 4486174950 |
|---|---|
| Medicare Enrollment ID | O20250227001408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023833944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Wendy Ludwig |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053410829 PECOS PAC ID: 0941653216 Enrollment ID: I20240202001176 |
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