Ms Tammy Lee Edmonds, MA LPC NCC CCTP | |
128 W. Huron Ave, Bad Axe, MI 48413 | |
(810) 334-3631 | |
(989) 269-5185 |
Full Name | Ms Tammy Lee Edmonds |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 128 W. Huron Ave, Bad Axe, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700024452 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401006872 (Michigan) | Secondary |
101YM0800X | Counselor - Mental Health | L 1121008 (Michigan) | Primary |
Entity Name | Professional Counseling Service, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215195136 PECOS PAC ID: 9739520206 Enrollment ID: O20240515000996 |
Mailing Address | Practice Location Address |
---|---|
Ms Tammy Lee Edmonds, MA LPC NCC CCTP P.o. Box 142, Bad Axe, MI 48413 Ph: (810) 334-3631 | Ms Tammy Lee Edmonds, MA LPC NCC CCTP 128 W. Huron Ave, Bad Axe, MI 48413 Ph: (810) 334-3631 |
Eric Read, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 R Dale Wertz Dr, Bad Axe, MI 48413 Phone: 989-269-9293 Fax: 989-269-7544 | |
Betty Ann Smith, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 R Dale Wertz Dr, Bad Axe, MI 48413 Phone: 989-269-9293 | |
Briana Harless, MA, CAADC Counselor Medicare: Medicare Enrolled Practice Location: 1357 S Van Dyke Rd, Bad Axe, MI 48413 Phone: 417-849-8501 | |
Jeana M Burkhard, Counselor Medicare: Medicare Enrolled Practice Location: 805 S Van Dyke Rd Ste C, Bad Axe, MI 48413 Phone: 810-689-4846 Fax: 810-958-1430 | |
Karen Link, M.A. LLPC Counselor Medicare: Medicare Enrolled Practice Location: 1375 R Dale Wertz Dr, Bad Axe, MI 48413 Phone: 989-269-9293 | |
James T Cunningham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1108 S Van Dyke, Bad Axe, MI 48413 Phone: 989-269-9293 Fax: 989-269-7544 |