Mr Kevin Rose, | |
304 Tuscola Rd, Bay City, MI 48708-6896 | |
(989) 892-8564 | |
Not Available |
Full Name | Mr Kevin Rose |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 304 Tuscola Rd, Bay 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 |
---|---|---|---|
1023414554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 6401014426 (Michigan) | Primary |
Entity Name | Bay-arenac Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154439438 PECOS PAC ID: 5496706228 Enrollment ID: O20050209000187 |
Mailing Address | Practice Location Address |
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Mr Kevin Rose, 1545 Keystone Ave, Lansing, MI 48911-4039 Ph: () - | Mr Kevin Rose, 304 Tuscola Rd, Bay City, MI 48708-6896 Ph: (989) 892-8564 |
Samantha Foehringer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Mulholland St, Bay City, MI 48708 Phone: 989-895-2300 | |
Mrs. Ericka Denise Booker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 259 N Madison Ave, Bay City, MI 48708 Phone: 734-756-3757 | |
Tracey Little, Counselor Medicare: Medicare Enrolled Practice Location: 126 Washington Ave, Bay City, MI 48708 Phone: 989-684-7977 Fax: 989-684-4331 | |
Ms. Nicole Sweet, M.A. LLPC Counselor Medicare: Medicare Enrolled Practice Location: 3707 Katalin Court, Bay City, MI 48706 Phone: 989-671-0866 Fax: 989-671-0867 | |
Valerie Daly, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 126 Washington Ave, Bay City, MI 48708 Phone: 989-684-7977 Fax: 989-684-4331 | |
Teri Booth, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 N Tuscola Rd, Bay City, MI 48708 Phone: 989-895-0788 |