Brenda Marie Heissenbuettel, | |
13101 Allen Rd, Southgate, MI 48195-2216 | |
(734) 785-7700 | |
Not Available |
Full Name | Brenda Marie Heissenbuettel |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 13101 Allen Rd, Southgate, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174821342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 6401012165 (Michigan) | Primary |
Entity Name | The Guidance Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609947027 PECOS PAC ID: 8022171735 Enrollment ID: O20090107000136 |
Mailing Address | Practice Location Address |
---|---|
Brenda Marie Heissenbuettel, 441 Bondie St, Wyandotte, MI 48192-2614 Ph: (734) 934-4496 | Brenda Marie Heissenbuettel, 13101 Allen Rd, Southgate, MI 48195-2216 Ph: (734) 785-7700 |
Elizabeth Magana Shaw, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd Ste 500, Southgate, MI 48195 Phone: 734-785-7700 Fax: 734-287-1953 | |
Caitlin Witt, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13305 Reeck Ct, Southgate, MI 48195 Phone: 734-225-2090 | |
Nichole Marbury, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700 Fax: 734-287-1953 | |
Amber Elizabeth Keyes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 989-598-0026 | |
Lisa Goss, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700 | |
Ashley Marie Adams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd Bldg 4, Southgate, MI 48195 Phone: 734-787-4053 | |
Wanda Denise Phelps, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7714 |