| Blue Pine Psych Services Llc | |
|
19 Water St Milford OH 45150-1104 | |
| (231) 620-6085 | |
| Not Available |
| Full Name | Blue Pine Psych Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 19 Water St, Milford, Ohio |
| Authorized Official Name and Position | Elizabeth Mary Swan (OWNER/CEO) |
| Authorized Official Contact | 2316206085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Pine Psych Services Llc 19 Water St Milford OH 45150-1104 Ph: (231) 620-6085 | Blue Pine Psych Services Llc 19 Water St Milford OH 45150-1104 Ph: (231) 620-6085 |
| NPI Number | 1114780533 |
|---|---|
| Provider Enumeration Date | 01/31/2024 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114780533 | NPI | - | NPPES |
| 1689295412 | Other | OH | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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