Larry Porta Llc - Mental Health Clinic in Gaylord, MI

Larry Porta Llc is a mental health clinic (Counselor - Mental Health) in Gaylord, Michigan. The current practice location for Larry Porta Llc is 440 W Main St Ste C, Gaylord, Michigan. For appointments, you can reach them via phone at (989) 448-2640. The mailing address for Larry Porta Llc is 440 W Main St Ste C, Gaylord, Michigan and phone number is (989) 448-2640.

Larry Porta Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1639729262. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (989) 448-2640.

Contact Information

Larry Porta Llc
440 W Main St Ste C
Gaylord
MI 49735-1885
(989) 448-2640
(989) 448-2639

Mental Health Clinic Profile

Full NameLarry Porta Llc
SpecialityCounselor - Mental Health
Location440 W Main St Ste C, Gaylord, Michigan
Authorized Official Name and PositionLarry Porta (OWNER)
Authorized Official Contact9894482640
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Larry Porta Llc
440 W Main St Ste C
Gaylord
MI 49735-1885

Ph: (989) 448-2640
Larry Porta Llc
440 W Main St Ste C
Gaylord
MI 49735-1885

Ph: (989) 448-2640

NPI Details:

NPI Number1639729262
Provider Enumeration Date09/16/2019
Last Update Date09/16/2019

Medical Identifiers

Medical identifiers for Larry Porta Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639729262NPI-NPPES
006513220001MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Primary

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› Verified 5 days ago

Counselor in Gaylord, MI

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