| Chaotic Good Educate Heal Create | |
|
754 Pine St Muskegon MI 49442-1019 | |
| (231) 724-1444 | |
| Not Available |
| Full Name | Chaotic Good Educate Heal Create |
|---|---|
| Speciality | Social Worker |
| Location | 754 Pine St, Muskegon, Michigan |
| Authorized Official Name and Position | Rebecca Newman (LCSW/GROUP OWNER) |
| Authorized Official Contact | 2317241444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chaotic Good Educate Heal Create 754 Pine St Muskegon MI 49442-1019 Ph: (231) 724-1444 | Chaotic Good Educate Heal Create 754 Pine St Muskegon MI 49442-1019 Ph: (231) 724-1444 |
| NPI Number | 1821782400 |
|---|---|
| Provider Enumeration Date | 06/06/2023 |
| Last Update Date | 06/28/2023 |
| Certification Date | 06/28/2023 |
| Medicare PECOS PAC ID | 7416311873 |
|---|---|
| Medicare Enrollment ID | O20230919000482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821782400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rebecca Newman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326617234 PECOS PAC ID: 5395129514 Enrollment ID: I20220907000764 |
| Provider Name | Abigail Benedict |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861800427 PECOS PAC ID: 9436511011 Enrollment ID: I20230814002706 |
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