| Journey Christian Counseling, Llc | |
|
546 76th St Sw Byron Center MI 49315-8307 | |
| (616) 890-0651 | |
| Not Available |
| Full Name | Journey Christian Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 546 76th St Sw, Byron Center, Michigan |
| Authorized Official Name and Position | Matthew Kenney (OWNER) |
| Authorized Official Contact | 2067053032 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Christian Counseling, Llc 546 76th St Sw Byron Center MI 49315-8307 Ph: (206) 705-3032 | Journey Christian Counseling, Llc 546 76th St Sw Byron Center MI 49315-8307 Ph: (616) 890-0651 |
| NPI Number | 1326638867 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 08/29/2022 |
| Certification Date | 08/29/2022 |
| Medicare PECOS PAC ID | 5193101624 |
|---|---|
| Medicare Enrollment ID | O20240223002287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326638867 | NPI | - | NPPES |
| Provider Name | Abigail Suzanne Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033727110 PECOS PAC ID: 5496179194 Enrollment ID: I20200727003374 |
| Provider Name | Matthew Gene Kenney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487023321 PECOS PAC ID: 1355725722 Enrollment ID: I20240223002341 |
| Provider Name | Jennifer Brink |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518665959 PECOS PAC ID: 6406292697 Enrollment ID: I20240311001386 |
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