| Deepwater Counseling, Pllc | |
|
3150 Packard Rd Ypsilanti MI 48197-1994 | |
| (734) 203-0183 | |
| Not Available |
| Full Name | Deepwater Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 3150 Packard Rd, Ypsilanti, Michigan |
| Authorized Official Name and Position | Jennifer Blough (OWNER) |
| Authorized Official Contact | 7347768251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deepwater Counseling, Pllc 10672 Northwood Hwy Onekama MI 49675-9612 Ph: (734) 776-8251 | Deepwater Counseling, Pllc 3150 Packard Rd Ypsilanti MI 48197-1994 Ph: (734) 203-0183 |
| NPI Number | 1639600687 |
|---|---|
| Provider Enumeration Date | 03/22/2017 |
| Last Update Date | 01/14/2021 |
| Certification Date | 01/14/2021 |
| Medicare PECOS PAC ID | 2365859683 |
|---|---|
| Medicare Enrollment ID | O20210401001119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639600687 | NPI | - | NPPES |
| 1528456019 | Other | MI | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401014637 (Michigan) | Primary |
| Provider Name | Debra M Longo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942218698 PECOS PAC ID: 6507898491 Enrollment ID: I20050831000133 |
Skill Therapy, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9035 Parkland Dr, Ypsilanti, MI 48197 Phone: 734-276-6082 | |
Ks Baker Therapeutic Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 N Huron St Unit 1, Ypsilanti, MI 48197 Phone: 734-334-6074 | |
Kimberly M Mccrea Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2048 Washtenaw Road Upper Level South Suite, Ypsilanti, MI 48197 Phone: 734-775-3451 | |
County Of Washtenaw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 Towner St, Ypsilanti, MI 48198 Phone: 734-544-3015 Fax: 734-544-6732 | |
Belaka Care Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4838 Lakeridge St Apt 1b, Ypsilanti, MI 48197 Phone: 734-757-5273 | |
Family Educational Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2111 Golfside Rd, Ypsilanti, MI 48197 Phone: 888-400-1980 Fax: 734-822-6508 | |
Microcosm, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 N Washington St Unit 1, Ypsilanti, MI 48197 Phone: 231-912-1131 |