| Reach For Recovery, Inc. | |
|
483 Century Ln Holland MI 49423-4286 | |
| (616) 396-5284 | |
| (616) 396-8387 |
| Full Name | Reach For Recovery, Inc. |
|---|---|
| Speciality | Public Health or Welfare |
| Location | 483 Century Ln, Holland, Michigan |
| Authorized Official Name and Position | Melinda Jurries (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 6163965284 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reach For Recovery, Inc. 483 Century Ln Holland MI 49423-4286 Ph: (616) 396-5284 | Reach For Recovery, Inc. 483 Century Ln Holland MI 49423-4286 Ph: (616) 396-5284 |
| NPI Number | 1144207200 |
|---|---|
| Provider Enumeration Date | 12/29/2005 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Medicare PECOS PAC ID | 1052415866 |
|---|---|
| Medicare Enrollment ID | O20070404000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144207200 | NPI | - | NPPES |
| Provider Name | James L Stark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033295159 PECOS PAC ID: 8628963253 Enrollment ID: I20040220000839 |
| Provider Name | Tara L Pierson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255413456 PECOS PAC ID: 8729182530 Enrollment ID: I20070404000432 |
| Provider Name | Linda L Rossman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528070984 PECOS PAC ID: 7012059421 Enrollment ID: I20100123000076 |
| Provider Name | Janet L Laing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083798615 PECOS PAC ID: 5799963088 Enrollment ID: I20110711000583 |
| Provider Name | Sarah E Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134435456 PECOS PAC ID: 7214167741 Enrollment ID: I20140303001220 |
| Provider Name | Jordie Vanderwal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366891319 PECOS PAC ID: 8123410396 Enrollment ID: I20220120000683 |
| Provider Name | Nicole Betterly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508484700 PECOS PAC ID: 4385028760 Enrollment ID: I20220902001326 |
| Provider Name | Kyle Boer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891187175 PECOS PAC ID: 8921476409 Enrollment ID: I20221115002604 |
| Provider Name | Anna O'rourke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548812266 PECOS PAC ID: 9436514841 Enrollment ID: I20230508000414 |
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