| Autism And Neurodiversity Services | |
|
3865 Wilder Rd Ste 7a Bay City MI 48706-2136 | |
| (989) 324-8924 | |
| Not Available |
| Full Name | Autism And Neurodiversity Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3865 Wilder Rd Ste 7a, Bay City, Michigan |
| Authorized Official Name and Position | Ashley Blake (CEO) |
| Authorized Official Contact | 9897781055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism And Neurodiversity Services 3865 Wilder Rd Ste 7a Bay City MI 48706-2136 Ph: (989) 778-1055 | Autism And Neurodiversity Services 3865 Wilder Rd Ste 7a Bay City MI 48706-2136 Ph: (989) 324-8924 |
| NPI Number | 1245076876 |
|---|---|
| Provider Enumeration Date | 07/03/2024 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245076876 | NPI | - | NPPES |
| 1720124308 | Medicaid | MI | |
| 1932654415 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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