Miles Keller, | |
14800 E Old Us Highway 12, Chelsea, MI 48118-2110 | |
(734) 719-0380 | |
Not Available |
Full Name | Miles Keller |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 14800 E Old Us Highway 12, Chelsea, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992307458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 6401223066 (Michigan) | Secondary |
101YM0800X | Counselor - Mental Health | 6401223066 (Michigan) | Primary |
Entity Name | Timber Creek Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194213322 PECOS PAC ID: 4688004815 Enrollment ID: O20200430001328 |
Mailing Address | Practice Location Address |
---|---|
Miles Keller, 14800 E Old Us Highway 12, Chelsea, MI 48118-2110 Ph: (734) 719-0380 | Miles Keller, 14800 E Old Us Highway 12, Chelsea, MI 48118-2110 Ph: (734) 719-0380 |
Sydney Kutt, LLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14800 E Old Us Highway 12, Chelsea, MI 48118 Phone: 734-719-0380 | |
Connor Keoni Jewell, MA, LLPC Counselor Medicare: Medicare Enrolled Practice Location: 14800 E Old Us Highway 12, Chelsea, MI 48118 Phone: 734-719-0380 Fax: 734-292-8239 | |
Ms. Cynthia Swartz, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 N Main St, Ste 205, Chelsea, MI 48118 Phone: 517-420-7148 Fax: 517-861-2034 | |
Mr. Todd Koch, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 636 N Main St Ste 100, Chelsea, MI 48118 Phone: 734-395-6552 | |
Shelly Rene Bruner, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 636 N Main St, Chelsea, MI 48118 Phone: 734-664-2528 | |
Trista Palmer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 636 N Main St, Chelsea, MI 48118 Phone: 734-623-9111 | |
Mackenzie Jo Pfeiffer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 644 W Middle St, Chelsea, MI 48118 Phone: 734-709-7454 |