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Organization
HACKLEY LIFE COUNSELING
Active
Organization
HACKLEY LIFE COUNSELING
Active
Parent organization
MERCY HEALTH
Other names
Mercy Health Partners - Life Counseling
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HEALTH
Authorized official
SANDRA KLEIN HORSMAN (DIRECTOR)
(231) 726-3582
Entity
Organization
Contact information
Practice address
125 E SOUTHERN AVE, MUSKEGON, MI 49442-5041
(231) 726-3582
(231) 722-6933
Mailing address
125 E SOUTHERN AVE, MUSKEGON, MI 49442-5041
(231) 726-3582
(231) 722-6933
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
610004
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0910713
BCBS OUTPATIENT PSYCHIATRIC FACILITY
MI
01
—
20363
BCBS SUBSTANCE ABUSE FACILITY
MI
01
—
OF10118
BCBS SOCIAL WORKER GROUP
MI
01
—
OF11343
BCBS PSYCHOLOGIST GROUP
MI
Enumeration date
01/21/2011
Last updated
07/14/2014
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