| Mark Brian Beathard, | |
|
8623 N. Wayne Road, Suite 310, Adult Outpatient Services For Smi, Westland, MI 48185 | |
| (734) 425-0636 | |
| Not Available |
| Full Name | Mark Brian Beathard |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 8623 N. Wayne Road, Suite 310, Westland, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336677533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | B363585098663 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Brian Beathard, P. O. Box 79, Lincoln Park, MI 48146 Ph: (313) 454-7175 | Mark Brian Beathard, 8623 N. Wayne Road, Suite 310, Adult Outpatient Services For Smi, Westland, MI 48185 Ph: (734) 425-0636 |
Mrs. Amanda Nikolee Dennis-shareef, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7541 August Ave, Westland, MI 48185 Phone: 313-727-2200 | |
Latanya Marie-elvira Emerson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8623 N Wayne Rd, Westland, MI 48185 Phone: 734-742-0191 | |
Chandra Diana Novak, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8623 N Wayne Rd, Westland, MI 48185 Phone: 734-427-1144 Fax: 734-742-0608 | |
Miss Lativia Smith, LMSW-C Counselor Medicare: Medicare Enrolled Practice Location: 34290 Ford Rd, Westland, MI 48185 Phone: 313-717-1830 | |
Bruce M Johnson, Counselor Medicare: Medicare Enrolled Practice Location: 32715 Dorsey St, Westland, MI 48186 Phone: 734-641-1141 | |
Desaray Jean Maier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 32715 Dorsey St, Westland, MI 48186 Phone: 734-641-1141 | |
Karen Moore, MS CLINICAL PSYCHOLO Counselor Medicare: Not Enrolled in Medicare Practice Location: 7699 W Woodbridge Cir, #201, Westland, MI 48185 Phone: 734-778-7954 |