| Renewed Counseling Services | |
|
2050 Breton Rd Se Ste 104 Grand Rapids MI 49546-5547 | |
| (616) 219-8539 | |
| (616) 259-6936 |
| Full Name | Renewed Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 2050 Breton Rd Se Ste 104, Grand Rapids, Michigan |
| Authorized Official Name and Position | Wesley G Morgan (OWNER) |
| Authorized Official Contact | 6162198539 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Counseling Services Po Box 252914 West Bloomfield MI 48325-2914 Ph: () - | Renewed Counseling Services 2050 Breton Rd Se Ste 104 Grand Rapids MI 49546-5547 Ph: (616) 219-8539 |
| NPI Number | 1013572197 |
|---|---|
| Provider Enumeration Date | 05/05/2019 |
| Last Update Date | 03/28/2025 |
| Certification Date | 03/28/2025 |
| Medicare PECOS PAC ID | 1951751718 |
|---|---|
| Medicare Enrollment ID | O20231220002333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013572197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Julie L Edwards |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1285997023 PECOS PAC ID: 3072809482 Enrollment ID: I20160912001732 |
| Provider Name | Wesley Morgan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639553803 PECOS PAC ID: 6709237399 Enrollment ID: I20240131001746 |
| Provider Name | Julie L Edwards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285997023 PECOS PAC ID: 3072809482 Enrollment ID: I20241118002943 |
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