| Blue Seahorse Inc. | |
|
101 E Delaware St Decatur MI 49045-1131 | |
| (269) 244-3577 | |
| (269) 409-3983 |
| Full Name | Blue Seahorse Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 101 E Delaware St, Decatur, Michigan |
| Authorized Official Name and Position | Mike George Siver (CHAIRMAN OF THE BOARD) |
| Authorized Official Contact | 2692443577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Seahorse Inc. 101 E Delaware St Decatur MI 49045-1131 Ph: (269) 244-3577 | Blue Seahorse Inc. 101 E Delaware St Decatur MI 49045-1131 Ph: (269) 244-3577 |
| NPI Number | 1396150546 |
|---|---|
| Provider Enumeration Date | 06/26/2014 |
| Last Update Date | 07/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396150546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | SA0800033 (Michigan) | Secondary |
| 101YM0800X | Counselor - Mental Health | SA0800033 (Michigan) | Primary |
Mind Grove Therapy Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 70259 46th St, Decatur, MI 49045 Phone: 269-808-1344 |