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Laverne Santangelo

Counselor

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Laverne Santangelo is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1568755338
Provider Type
Individual
Full Name
Santangelo, Laverne
Title
Mrs.
Credential
LLPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/26/2011
Last Updated
5/26/2011

Contact Information

Practice Location

2143 Garry Dr, Troy, MI 48083-2359

(586) 945-4949

Unlisted Fax

Mailing Location

2143 Garry Dr, Troy, MI 48083-2359

(586) 945-4949

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 6401012391 Michigan

Laverne Santangelo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Flynn, Elle

Oliver, Andrew

Messing-Mirabito, Kelly

Queen, Kelly

Sieh, Linnea

Pardon, Carrie

Yaso, Saba

Gell, Laura

Nasierowski, Nicole D

Hinkson, Michael