| Adult Family & Group Counseling Pllc | |
|
1920 Lake Shore Dr Memorial United Methodist Church Offices Gladstone MI 49837-1249 | |
| (906) 420-5844 | |
| (906) 474-6010 |
| Full Name | Adult Family & Group Counseling Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1920 Lake Shore Dr, Gladstone, Michigan |
| Authorized Official Name and Position | Eleanor Louise Dougherty (PRESIDENT) |
| Authorized Official Contact | 9064205844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Family & Group Counseling Pllc 10426 V.05 Rd Po Box165 Rapid River MI 49878-9462 Ph: (906) 474-6010 | Adult Family & Group Counseling Pllc 1920 Lake Shore Dr Memorial United Methodist Church Offices Gladstone MI 49837-1249 Ph: (906) 420-5844 |
| NPI Number | 1518093871 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 05/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518093871 | NPI | - | NPPES |
| 1295715498 | Other | MI | OWNER / PROVIDER NPI |
| 0P44870 | Other | MEDICARE GROUP # | |
| 0897996 | Other | MI | BCBSM INDIVIUAL PROVIDER PIN |
| 600073696 | Other | MAGELLAN GROUP/ORG # | |
| 8008979960 | Other | MI | BCBSM ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801069892 (Michigan) | Primary |
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› Verified 7 days ago
Maryanne Mcleod Lmsw Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Minnesota Ave, Suite 210, Gladstone, MI 49837 Phone: 906-280-8496 | |
Db Therapy Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10003 State Highway M35, Gladstone, MI 49837 Phone: 906-399-4233 |