| Wellness Counseling L.l.c. | |
|
1 Heritage Dr Ste 261 Southgate MI 48195-2574 | |
| (734) 778-0663 | |
| Not Available |
| Full Name | Wellness Counseling L.l.c. |
|---|---|
| Speciality | Social Worker |
| Location | 1 Heritage Dr Ste 261, Southgate, Michigan |
| Authorized Official Name and Position | Kathryn Mary Thompson (OWNER, DIRECTOR) |
| Authorized Official Contact | 7347780663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Counseling L.l.c. 1 Heritage Dr Ste 261 Southgate MI 48195-2574 Ph: (734) 778-0663 | Wellness Counseling L.l.c. 1 Heritage Dr Ste 261 Southgate MI 48195-2574 Ph: (734) 778-0663 |
| NPI Number | 1841707262 |
|---|---|
| Provider Enumeration Date | 01/08/2018 |
| Last Update Date | 09/04/2023 |
| Certification Date | 09/04/2023 |
| Medicare PECOS PAC ID | 7012335326 |
|---|---|
| Medicare Enrollment ID | O20200918001506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841707262 | NPI | - | NPPES |
| Provider Name | Brad D Karwowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710263587 PECOS PAC ID: 7517229487 Enrollment ID: I20180313002033 |
| Provider Name | Derrick D Sebree |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912377458 PECOS PAC ID: 0648514059 Enrollment ID: I20181211002846 |
| Provider Name | Austin Kieffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770083651 PECOS PAC ID: 3072931369 Enrollment ID: I20200918001043 |
| Provider Name | Kathleen C Enersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154797322 PECOS PAC ID: 6002236270 Enrollment ID: I20201009001547 |
| Provider Name | Malak Berro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336741743 PECOS PAC ID: 7911312160 Enrollment ID: I20210219001912 |
| Provider Name | Erica Marie Crosby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831632793 PECOS PAC ID: 6709247935 Enrollment ID: I20230803001616 |
| Provider Name | Kathryn Mary Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174856975 PECOS PAC ID: 9638522311 Enrollment ID: I20240417001364 |
| Provider Name | Debra Denise Napier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013223734 PECOS PAC ID: 2769822071 Enrollment ID: I20240503001823 |
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