Provider / Organization | NPI | Date Certified |
---|---|---|
REALITE LANICE PEEBLES | 1255985008 | 2021-07-12 |
Realite Lanice Peebles is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1255985008. Registration indicates Realite Lanice Peebles is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Analyst, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Behavioral Analyst, Behavioral Health & Social Service Providers)
Entity Type | Individual |
Provider Name | Realite Lanice Peebles |
Practice Office Address | 120 STEVENS ST SW GRAND RAPIDS, MI US |
Practice Office Telephone | 8558326727 |
Mailing Address | 7108 S KANNER HWY STUART, FL 349977462 US |
Business Telephone | 8558326727 |
Code | Practice | License No State |
---|---|---|
101YM0800X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | |
103K00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Analyst Behavioral Health/Substance Abuse/Psychiatry Behavioral Analyst Behavioral Health & Social Service Providers |
247200000X | MEDICAID | MI |