| Anne Marie Bumbalough, LPC | |
| 1199 Harris Ave, Tawas City, MI 48763-9681 | |
| (989) 362-8636 | |
| Not Available | 
| Full Name | Anne Marie Bumbalough | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 1199 Harris Ave, Tawas City, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508196510 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6401008672 (Michigan) | Primary | 
| Entity Name | Munson Healthcare Otsego Memorial Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1164628426 PECOS PAC ID: 8325942535 Enrollment ID: O20040305000525 | 
| Entity Name | Munson Healthcare Grayling | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1710383351 PECOS PAC ID: 2062736655 Enrollment ID: O20150326000110 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Anne Marie Bumbalough, LPC 1199 Harris Ave, Po Box 310, Tawas City, MI 48763-9681 Ph: (989) 362-8636 | Anne Marie Bumbalough, LPC 1199 Harris Ave, Tawas City, MI 48763-9681 Ph: (989) 362-8636 | 
| Carl Edward Howard, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1199 Harris Ave, Tawas City, MI 48763 Phone: 989-362-8636 | |
| Carrie Marie Rasmusson, LBSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1199 Harris Ave, Tawas City, MI 48763 Phone: 989-362-8636 Fax: 989-362-7800 | |
| Vera Lee Middleton,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1199 Harris Ave, Tawas City, MI 48763 Phone: 989-362-8636 Fax: 989-362-7800 | |
| David Ballard Lane Jr., LMSW, LLP, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1199 Harris Ave, Tawas City, MI 48763 Phone: 989-362-8636 | |
| Alecia Marie Hughes, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1199 Harris Ave, Tawas City, MI 48763 Phone: 989-362-8636 Fax: 989-362-7800 | |
| Melissa Loraine Lane, LLP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1199 Harris Ave, Tawas City, MI 48763 Phone: 989-362-8636 Fax: 989-362-7800 |