Water's Edge Counseling Services, Llc | |
71901 County Road 388 South Haven MI 49090-9336 | |
(269) 872-3625 | |
Not Available |
Full Name | Water's Edge Counseling Services, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 71901 County Road 388, South Haven, Michigan |
Authorized Official Name and Position | Kelly Pinney Ellis (CEO, THERAPIST) |
Authorized Official Contact | 2692141234 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Water's Edge Counseling Services, Llc 71901 County Road 388 South Haven MI 49090-9336 Ph: (269) 872-3625 | Water's Edge Counseling Services, Llc 71901 County Road 388 South Haven MI 49090-9336 Ph: (269) 872-3625 |
NPI Number | 1447706759 |
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Provider Enumeration Date | 08/27/2016 |
Last Update Date | 08/27/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447706759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 6401011487 (Michigan) | Primary |
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