Organization
VILLAVERDE COUNSELING AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELICA HERNANDEZ LPC (OWNER)
(989) 327-4744
Entity
Organization
Contact information
Practice address
2960 WINEGAR RD, BANCROFT, MI 48414-9756
(517) 303-4185
Mailing address
2960 WINEGAR RD, BANCROFT, MI 48414-9756
(517) 303-4185
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401011899
LICENSE NUMBER
MI
Enumeration date
11/13/2021
Last updated
11/13/2021
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