| The Four Health Family Resource Center Inc | |
|
92 N Bridge St Saranac MI 48881 | |
| (616) 642-6466 | |
| (616) 642-6621 |
| Full Name | The Four Health Family Resource Center Inc |
|---|---|
| Speciality | Counselor |
| Location | 92 N Bridge St, Saranac, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Four Health Family Resource Center Inc 92 N Bridge St P O Box 178 Saranac MI 48881-5102 Ph: (616) 642-6466 | The Four Health Family Resource Center Inc 92 N Bridge St Saranac MI 48881 Ph: (616) 642-6466 |
| NPI Number | 1073989141 |
|---|---|
| Provider Enumeration Date | 08/12/2015 |
| Last Update Date | 05/25/2018 |
| Medicare PECOS PAC ID | 7618227604 |
|---|---|
| Medicare Enrollment ID | O20180913000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073989141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401014973 (Michigan) | Primary |
| Provider Name | Rebecca M Palmer Hornbrook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538237219 PECOS PAC ID: 1355565979 Enrollment ID: I20140620000943 |
| Provider Name | Pamela J Gregorski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437418837 PECOS PAC ID: 2466701008 Enrollment ID: I20180815002410 |
| Provider Name | Lisa Krikke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326711201 PECOS PAC ID: 9234534553 Enrollment ID: I20210825002137 |
| Provider Name | Brittany Zukowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679088926 PECOS PAC ID: 9739538075 Enrollment ID: I20231212000756 |
| Provider Name | Maureen Ann Dorough |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598204737 PECOS PAC ID: 3779932728 Enrollment ID: I20231215001336 |