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Organization
HACKLEY LIFE COUNSELING
Active
Organization
HACKLEY LIFE COUNSELING
Active
Parent organization
TRINITY HEALTH
Other names
Mercy Health - Life Counseling
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY HEALTH
Authorized official
MRS. 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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
610004
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028369
VALUE OPTIONS SUB ABUSE
MI
01
—
030234
VALUE OPTIONS MENTAL HEAL
MI
01
—
031611000
MAGELLAN GROUP #
MI
01
—
0910713
BCBS - OPC
MI
01
—
20363
BCBS - SUBSTANCE ABUSE FACILITY
MI
01
—
OF10118
BCS SOCIAL WORKER GROUP
MI
01
—
OF11343
BCBS PSYCHOLOGIST GROUP
MI
Enumeration date
05/30/2006
Last updated
08/04/2015
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