| Bright Spot Counseling And Emdr Treatment Center | |
|
32905 W 12 Mile Rd Ste 310 Farmington Hills MI 48334-3345 | |
| (248) 296-3104 | |
| Not Available |
| Full Name | Bright Spot Counseling And Emdr Treatment Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 32905 W 12 Mile Rd Ste 310, Farmington Hills, Michigan |
| Authorized Official Name and Position | Ginger Kaye Houghton (MEMBER) |
| Authorized Official Contact | 2482278760 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Spot Counseling And Emdr Treatment Center 32905 W 12 Mile Rd Ste 310 Farmington Hills MI 48334-3345 Ph: (248) 296-3104 | Bright Spot Counseling And Emdr Treatment Center 32905 W 12 Mile Rd Ste 310 Farmington Hills MI 48334-3345 Ph: (248) 296-3104 |
| NPI Number | 1184105173 |
|---|---|
| Provider Enumeration Date | 08/27/2018 |
| Last Update Date | 08/29/2023 |
| Certification Date | 08/29/2023 |
| Medicare PECOS PAC ID | 4385995810 |
|---|---|
| Medicare Enrollment ID | O20180924000648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184105173 | NPI | - | NPPES |
| 12663038 | Other | CAQH | |
| 1883825 | Medicaid | MI | |
| 6801092374 | Other | MI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801092374 (Michigan) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Lynn C Keidan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447396254 PECOS PAC ID: 9830293422 Enrollment ID: I20070410000091 |
| Provider Name | Andrea Nitzkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366623373 PECOS PAC ID: 8527237296 Enrollment ID: I20110817000065 |
| Provider Name | Laurie Epstein Kach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689880817 PECOS PAC ID: 7618127028 Enrollment ID: I20121020000017 |
| Provider Name | Kristin K Barnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326063314 PECOS PAC ID: 6608027701 Enrollment ID: I20121120000245 |
| Provider Name | Ginger K Houghton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891123998 PECOS PAC ID: 5991933822 Enrollment ID: I20140122000903 |
| Provider Name | Holly Lane Snell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437402500 PECOS PAC ID: 8628348760 Enrollment ID: I20170721000766 |
| Provider Name | Rachel N Freedland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699801746 PECOS PAC ID: 7214197938 Enrollment ID: I20200608001212 |
| Provider Name | Brianna Evon Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821719568 PECOS PAC ID: 9931575644 Enrollment ID: I20221021000199 |
| Provider Name | Jennifer Nyberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659086247 PECOS PAC ID: 0547624306 Enrollment ID: I20230912002175 |
| Provider Name | Julie Ruskin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457570160 PECOS PAC ID: 4688028327 Enrollment ID: I20230928001496 |
| Provider Name | Thao T Phan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972241487 PECOS PAC ID: 2961886742 Enrollment ID: I20240318002814 |
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