| Hyacinth Clinical Services And Consulting Pllc | |
|
3724 W Wing Rd Mount Pleasant MI 48858-9584 | |
| (989) 408-7587 | |
| Not Available |
| Full Name | Hyacinth Clinical Services And Consulting Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3724 W Wing Rd, Mount Pleasant, Michigan |
| Authorized Official Name and Position | Erin Smith (OWNER) |
| Authorized Official Contact | 9894087587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyacinth Clinical Services And Consulting Pllc 3724 W Wing Rd Mount Pleasant MI 48858-9584 Ph: (989) 408-7587 | Hyacinth Clinical Services And Consulting Pllc 3724 W Wing Rd Mount Pleasant MI 48858-9584 Ph: (989) 408-7587 |
| NPI Number | 1437898707 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 06/03/2022 |
| Certification Date | 06/03/2022 |
| Medicare PECOS PAC ID | 7416339080 |
|---|---|
| Medicare Enrollment ID | O20220728001644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437898707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Zachary Y Jaime |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013312479 PECOS PAC ID: 0840504577 Enrollment ID: I20150807015240 |
| Provider Name | Samantha J Huebler Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093192221 PECOS PAC ID: 1052675725 Enrollment ID: I20180503002730 |
| Provider Name | Erin Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831489541 PECOS PAC ID: 7416206768 Enrollment ID: I20180820001116 |
| Provider Name | Felix Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568712610 PECOS PAC ID: 5991054256 Enrollment ID: I20180820001468 |
| Provider Name | Nicholas Gallagher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952751067 PECOS PAC ID: 2567706518 Enrollment ID: I20181203002716 |
| Provider Name | Megan Whyte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811430739 PECOS PAC ID: 4688082712 Enrollment ID: I20210409000784 |
| Provider Name | Emma Bess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073227625 PECOS PAC ID: 8921469479 Enrollment ID: I20230731002081 |
| Provider Name | Nicole Marie Kittle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992298087 PECOS PAC ID: 4688036874 Enrollment ID: I20230821001675 |
| Provider Name | Ann Marie Bauman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285287128 PECOS PAC ID: 4880037480 Enrollment ID: I20240212000629 |
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