| Shoreline Supportive Counseling Pllc | |
|
1100 Ludington St Ste 302 Escanaba MI 49829-3500 | |
| (906) 280-9167 | |
| Not Available |
| Full Name | Shoreline Supportive Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1100 Ludington St Ste 302, Escanaba, Michigan |
| Authorized Official Name and Position | Elizabeth Case (SOLE MEMBER) |
| Authorized Official Contact | 9062809167 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Supportive Counseling Pllc 1100 Ludington St Ste 302 Escanaba MI 49829-3500 Ph: (906) 280-9167 | Shoreline Supportive Counseling Pllc 1100 Ludington St Ste 302 Escanaba MI 49829-3500 Ph: (906) 280-9167 |
| NPI Number | 1346933389 |
|---|---|
| Provider Enumeration Date | 05/26/2023 |
| Last Update Date | 05/26/2023 |
| Certification Date | 05/26/2023 |
| Medicare PECOS PAC ID | 2860854080 |
|---|---|
| Medicare Enrollment ID | O20230818002191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346933389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Case |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801200670 PECOS PAC ID: 5395099485 Enrollment ID: I20181107003503 |
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