| Centered On Wellness | |
|
1850 Colfax Ave Benton Harbor MI 49022-6753 | |
| (269) 926-6199 | |
| (269) 926-6780 |
| Full Name | Centered On Wellness |
|---|---|
| Speciality | Psychologist |
| Location | 1850 Colfax Ave, Benton Harbor, Michigan |
| Authorized Official Name and Position | Christy Lynn Plangger (OFFICE MANAGER) |
| Authorized Official Contact | 2699266199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centered On Wellness 1850 Colfax Ave Benton Harbor MI 49022-6753 Ph: (269) 926-6199 | Centered On Wellness 1850 Colfax Ave Benton Harbor MI 49022-6753 Ph: (269) 926-6199 |
| NPI Number | 1720288152 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 08/29/2023 |
| Certification Date | 08/29/2023 |
| Medicare PECOS PAC ID | 6608837745 |
|---|---|
| Medicare Enrollment ID | O20041104000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720288152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301006539 (Michigan) | Primary |
| Provider Name | Philip M Sutton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447309984 PECOS PAC ID: 7618939398 Enrollment ID: I20041104000055 |
| Provider Name | Josephine C Cassar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003080888 PECOS PAC ID: 2860638616 Enrollment ID: I20130423000354 |
| Provider Name | Joann M Klupp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972016426 PECOS PAC ID: 1355711714 Enrollment ID: I20221228002286 |
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