Starboard Counseling Llc - Medicare Mental Health Clinic in Fort Gratiot, MI

Starboard Counseling Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Fort Gratiot, Michigan. The current practice location for Starboard Counseling Llc is 3923 Essex Pl, Fort Gratiot, Michigan. For appointments, you can reach them via phone at (406) 480-6070. The mailing address for Starboard Counseling Llc is 3923 Essex Pl, Fort Gratiot, Michigan and phone number is (406) 480-6070.

Starboard Counseling Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1134901481. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (406) 480-6070.

Contact Information

Starboard Counseling Llc
3923 Essex Pl
Fort Gratiot
MI 48059-3762
(406) 480-6070
Not Available

Mental Health Clinic Profile

Full NameStarboard Counseling Llc
SpecialitySocial Worker
Location3923 Essex Pl, Fort Gratiot, Michigan
Authorized Official Name and PositionChristopher Douglas Mullin (SOLE MEMBER)
Authorized Official Contact4064806070
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Starboard Counseling Llc
3923 Essex Pl
Fort Gratiot
MI 48059-3762

Ph: (406) 480-6070
Starboard Counseling Llc
3923 Essex Pl
Fort Gratiot
MI 48059-3762

Ph: (406) 480-6070

NPI Details:

NPI Number1134901481
Provider Enumeration Date10/19/2023
Last Update Date10/19/2023
Certification Date10/19/2023

Medicare PECOS Information:

Medicare PECOS PAC ID2961847629
Medicare Enrollment IDO20240304003136

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Medical Identifiers

Medical identifiers for Starboard Counseling Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134901481NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Starboard Counseling Llc acts as a billing entity for following providers:
Provider NameChristopher D Mullin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1336328442
PECOS PAC ID: 1557591112
Enrollment ID: I20140226001286

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