| Suunta Integrative Health | |
|
1209 N 3rd St Marquette MI 49855-3009 | |
| (906) 286-3254 | |
| Not Available |
| Full Name | Suunta Integrative Health |
|---|---|
| Speciality | Social Worker |
| Location | 1209 N 3rd St, Marquette, Michigan |
| Authorized Official Name and Position | Melissa Ann Copenhaver (OWNER) |
| Authorized Official Contact | 9062863254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suunta Integrative Health 1600 Bayview Dr Marquette MI 49855-5025 Ph: (906) 286-3254 | Suunta Integrative Health 1209 N 3rd St Marquette MI 49855-3009 Ph: (906) 286-3254 |
| NPI Number | 1720646508 |
|---|---|
| Provider Enumeration Date | 06/05/2019 |
| Last Update Date | 04/17/2020 |
| Certification Date | 04/17/2020 |
| Medicare PECOS PAC ID | 8022340900 |
|---|---|
| Medicare Enrollment ID | O20191025000914 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720646508 | NPI | - | NPPES |
| Provider Name | Janet E Delvalle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629486766 PECOS PAC ID: 2466732300 Enrollment ID: I20161209001786 |
| Provider Name | Ashley K Provost |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558728667 PECOS PAC ID: 1355605544 Enrollment ID: I20180516002657 |
| Provider Name | Courtney Jukkala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528597572 PECOS PAC ID: 7214267160 Enrollment ID: I20190919002053 |
| Provider Name | Melissa Copenhaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598104572 PECOS PAC ID: 8921330804 Enrollment ID: I20191025000981 |
| Provider Name | Chelsea R Kuzmak-aho |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992304273 PECOS PAC ID: 5092128678 Enrollment ID: I20201229002278 |
| Provider Name | Nisha Tebear-coolman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710366497 PECOS PAC ID: 6800296559 Enrollment ID: I20210616003622 |
| Provider Name | Courtney King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851967046 PECOS PAC ID: 3375904097 Enrollment ID: I20230727003255 |
| Provider Name | Kevin Dale Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063646875 PECOS PAC ID: 7719335140 Enrollment ID: I20231127000747 |
| Provider Name | Shelley M Brandow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609187855 PECOS PAC ID: 5991157307 Enrollment ID: I20240122003735 |
| Provider Name | Nathan D Michels |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396356358 PECOS PAC ID: 6608228853 Enrollment ID: I20240123004372 |
| Provider Name | Alexandra Saari Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588152953 PECOS PAC ID: 1052856002 Enrollment ID: I20240715000258 |
| Provider Name | Katherine Irene Menard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114775749 PECOS PAC ID: 9335679638 Enrollment ID: I20250214002002 |
| Provider Name | Kayla Renee Bigelow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649821992 PECOS PAC ID: 7214457134 Enrollment ID: I20250222000258 |
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