| Mld Supervision & Therapy, Llc | |
|
127 W Stewart St Gaylord MI 49735-1539 | |
| (989) 217-8219 | |
| Not Available |
| Full Name | Mld Supervision & Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 127 W Stewart St, Gaylord, Michigan |
| Authorized Official Name and Position | Marissa Lynn Luck-damer (OWNER/MENTAL HEALTH PROFESSIONAL) |
| Authorized Official Contact | 9892178219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mld Supervision & Therapy, Llc 127 W Stewart St Gaylord MI 49735-1539 Ph: (989) 217-8219 | Mld Supervision & Therapy, Llc 127 W Stewart St Gaylord MI 49735-1539 Ph: (989) 217-8219 |
| NPI Number | 1396553459 |
|---|---|
| Provider Enumeration Date | 12/20/2024 |
| Last Update Date | 12/20/2024 |
| Certification Date | 12/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396553459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Northern Michigan Substance Abuse Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2136 W M 32, Gaylord, MI 49735 Phone: 989-732-1791 Fax: 989-732-7052 | |
Marne March Olli, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 W Main St, Ste B, Gaylord, MI 49735 Phone: 989-350-0183 | |
Lasting Peace Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 236 W Main St, Gaylord, MI 49735 Phone: 989-546-9416 | |
Roots 45 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 W 1st St, Gaylord, MI 49735 Phone: 989-350-3053 | |
45th Parallel Psychological Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 685 E M 32 Ste 211, Gaylord, MI 49735 Phone: 989-614-7766 |