| Peripheral Counseling Llc | |
|
1971 E Beltline Ave Ne Ste 200e Grand Rapids MI 49525-7064 | |
| (989) 745-1933 | |
| Not Available |
| Full Name | Peripheral Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 1971 E Beltline Ave Ne Ste 200e, Grand Rapids, Michigan |
| Authorized Official Name and Position | Kyle Handrich (OWNER) |
| Authorized Official Contact | 9897451933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peripheral Counseling Llc 1510 Derby Dr Nw Grand Rapids MI 49504-2678 Ph: () - | Peripheral Counseling Llc 1971 E Beltline Ave Ne Ste 200e Grand Rapids MI 49525-7064 Ph: (989) 745-1933 |
| NPI Number | 1417778929 |
|---|---|
| Provider Enumeration Date | 10/18/2024 |
| Last Update Date | 05/22/2025 |
| Certification Date | 05/22/2025 |
| Medicare PECOS PAC ID | 0941734487 |
|---|---|
| Medicare Enrollment ID | O20241106003656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417778929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Kyle Handrich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205554615 PECOS PAC ID: 5395279830 Enrollment ID: I20241106003765 |
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