Amylynn Theisen, MA, LPC, CAADC | |
1205 S Mission St, Ste 27, Mount Pleasant, MI 48858-3939 | |
(989) 944-2950 | |
(989) 317-3638 |
Full Name | Amylynn Theisen |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1205 S Mission St, Mount Pleasant, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821260696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401006678 (Michigan) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | C-01471 (Michigan) | Secondary |
Entity Name | Ag Counseling Services, Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538522966 PECOS PAC ID: 7810339256 Enrollment ID: O20240530001557 |
Mailing Address | Practice Location Address |
---|---|
Amylynn Theisen, MA, LPC, CAADC 121 N Lansing St, Mount Pleasant, MI 48858-1631 Ph: (989) 944-2950 | Amylynn Theisen, MA, LPC, CAADC 1205 S Mission St, Ste 27, Mount Pleasant, MI 48858-3939 Ph: (989) 944-2950 |
Ismael Castellon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 S University Ave Ste 105, Mount Pleasant, MI 48858 Phone: 989-444-3209 | |
Taylor Kilbourn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 S University Ave Ste 105, Mount Pleasant, MI 48858 Phone: 989-444-3209 | |
Kevin C Daum, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2800 S Shepherd Rd, Mount Pleasant, MI 48858 Phone: 989-775-4850 | |
Julie Ann Wellman, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 S University Ave, Mount Pleasant, MI 48858 Phone: 989-779-8999 Fax: 989-779-2219 | |
Mr. Patrick Joseph Cousineau, RSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 S Crapo St, Mount Pleasant, MI 48858 Phone: 989-772-5938 Fax: 989-779-2371 | |
Mrs. Pamela Christine Johnson, MC LPC CAADC Counselor Medicare: Medicare Enrolled Practice Location: 2885 Health Pkwy Ste 1, Mount Pleasant, MI 48858 Phone: 989-772-9655 Fax: 989-773-1187 | |
Misty Lynne Smith, MS, LLPC Counselor Medicare: Medicare Enrolled Practice Location: 4273 Corporate Dr, Mount Pleasant, MI 48858 Phone: 989-953-4357 |