| Blue Water Serenity Counseling Pllc | |
|
5429 Shorewood Dr Fort Gratiot MI 48059-3138 | |
| (810) 357-1725 | |
| (810) 824-4865 |
| Full Name | Blue Water Serenity Counseling Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5429 Shorewood Dr, Fort Gratiot, Michigan |
| Authorized Official Name and Position | Alexis Johnson (OWNER AND SOLE PROPRIETOR) |
| Authorized Official Contact | 8108244865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Water Serenity Counseling Pllc 5429 Shorewood Dr Fort Gratiot MI 48059-3138 Ph: (810) 357-1725 | Blue Water Serenity Counseling Pllc 5429 Shorewood Dr Fort Gratiot MI 48059-3138 Ph: (810) 357-1725 |
| NPI Number | 1023415072 |
|---|---|
| Provider Enumeration Date | 11/19/2014 |
| Last Update Date | 12/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023415072 | NPI | - | NPPES |
| 1609118637 | Other | MI | NATIONAL PROVIDER IDENTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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