ASPEN COUNSELING AND RECOVERY SERVICES, PLLC (NPI# 1184949653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184949653 |
Entity Type | Organization |
Organization Name | ASPEN COUNSELING AND RECOVERY SERVICES, PLLC |
Practice Address |
202 Elm Ave Suite 2 Munising MI 49862-1108 |
Practice Telephone | 9063871030 |
Practice Fax Number | 9063871038 |
Mailing Telephone | 9063871030 |
Mailing Fax Number | 9063871038 |
Enumeration Date | 2010-03-29 |
Last Update Date | 2010-06-09 |
Authorized Official Name | ELIZABETH PANGRAZZI (OWNER) |
Authorized Official Telephone | 9063871030 |
Authorized Official Credential | MA,LLP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1041C0700X |
Social Worker Specialization: Clinical |
6801085455 | MI | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301009362 | MI | Behavioral Health & Social Service Providers |
Street Address |
202 ELM AVE SUITE 2 |
City | MUNISING |
State | MI |
Zip Code | 49862-1108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639364706 | Patrice Maree Evans | Social Worker | 202 Elm Ave, Suite 2, Munising, MI 49862-1108 | 2007-09-11 |
1225313067 | Patrice Evans Counseling, Pllc | Counselor | 202 Elm Ave, Suite 2, Munising, MI 49862-1108 | 2011-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619202447 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 413 Maple Street, Suite 2, Munising, MI 49862 | 2009-10-13 |
1639329287 | George Schultz | Pharmacist | 415 E. Hwy. M-28, Munising, MI 49862 | 2008-09-19 |
1376619973 | Victor Adam Patronik | Dentist | 109 East Superior, Munising, MI 49862 | 2006-11-27 |
1386650182 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 415 E M-28, Munising, MI 49862 | 2006-08-01 |
1952320509 | Michelle L Sharp | Psychologist | 601 West Superior Street, Munising, MI 49862 | 2006-07-18 |
1457309569 | Kurt Richard Olson | Family Medicine | 1504 Sand Point Road, Munising, MI 49862 | 2006-05-04 |
1518953934 | David M Gast | Physical Medicine & Rehabilitation | 1500 Sandpoint Rd, Munising, MI 49862 | 2005-09-21 |
1619441730 | Natalie Pianetto Buck | Dermatology | 1500 Sandpoint Rd, Munising, MI 49862 | 2019-01-11 |
1801107552 | Mercy Adeola Odueyungbo | Dermatology | 1500 Sandpoint Rd, Munising, MI 49862 | 2010-06-28 |
1154592491 | Paula Marie Ackerman | Dietitian, Registered | 1500 Sand Point Rd, Munising, MI 49862 | 2008-03-14 |
Find all providers in zip 49862 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952320509 | Michelle L Sharp | Psychologist | 601 West Superior Street, Munising, MI 49862 | 2006-07-18 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.