Julia Oliver, LCMHC | |
43825 Michigan Ave, Canton, MI 48188-2551 | |
(734) 397-3088 | |
(734) 397-2892 |
Full Name | Julia Oliver |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 43825 Michigan Ave, Canton, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841248176 | NPI | - | NPPES |
61416 | Other | VT | MVP |
1007118 | Medicaid | VT | |
00018781 | Other | VT | BLUE CROSS BLUE SHIELD |
2033039 | Other | VT | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 6401008736 (Michigan) | Primary |
Entity Name | Gosnold, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639219314 PECOS PAC ID: 5991776627 Enrollment ID: O20040804001622 |
Mailing Address | Practice Location Address |
---|---|
Julia Oliver, LCMHC 43825 Michigan Ave, Canton, MI 48188-2551 Ph: (734) 397-3088 | Julia Oliver, LCMHC 43825 Michigan Ave, Canton, MI 48188-2551 Ph: (734) 397-3088 |
Janice Toporek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 50430 School House Rd, Canton, MI 48187 Phone: 734-495-1722 | |
Mr. Nathaniel Edison Ponder, CADC, CTP-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 50430 School House Rd, Canton, MI 48187 Phone: 734-495-1722 | |
Mary Blackmon, CPRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50430 School House Rd, Canton, MI 48187 Phone: 734-431-2357 | |
Michelle Fitzhugh, Counselor Medicare: Medicare Enrolled Practice Location: 1685 Christopher Dr, Canton, MI 48188 Phone: 734-664-5016 | |
Evelyn Colleen Conklin, MS-RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 43835 Brandywyne Rd, Canton, MI 48187 Phone: 734-459-8991 | |
Mr. Tyler Manns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 43825 Michigan Ave, Canton, MI 48188 Phone: 734-397-3088 | |
Nashawn Dean Russel Lariviere, CPRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50430 School House Rd, Canton, MI 48187 Phone: 734-495-1722 |