| Paddock Counseling Pllc | |
|
201 N Mitchell St Ste 204 Cadillac MI 49601-1859 | |
| (231) 884-0028 | |
| (888) 977-1502 |
| Full Name | Paddock Counseling Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 201 N Mitchell St Ste 204, Cadillac, Michigan |
| Authorized Official Name and Position | Brenna Leigh Edwards (BUSINESS MANAGER) |
| Authorized Official Contact | 2316385316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paddock Counseling Pllc 201 N Mitchell St Ste 204 Cadillac MI 49601-1859 Ph: (231) 884-0028 | Paddock Counseling Pllc 201 N Mitchell St Ste 204 Cadillac MI 49601-1859 Ph: (231) 884-0028 |
| NPI Number | 1982084349 |
|---|---|
| Provider Enumeration Date | 06/01/2015 |
| Last Update Date | 07/01/2024 |
| Certification Date | 07/01/2024 |
| Medicare PECOS PAC ID | 7517498728 |
|---|---|
| Medicare Enrollment ID | O20240930000170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982084349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Joanie Elvenia Blamer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558335836 PECOS PAC ID: 0042234965 Enrollment ID: I20060118000910 |
| Provider Name | Jessica L Hawkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568435154 PECOS PAC ID: 9436163383 Enrollment ID: I20060130000740 |
| Provider Name | Sarah L Springer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477176907 PECOS PAC ID: 4789124074 Enrollment ID: I20240913000239 |
| Provider Name | Julie B Freeman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801349022 PECOS PAC ID: 6507306891 Enrollment ID: I20240913000244 |
| Provider Name | Katrina J Paddock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336282672 PECOS PAC ID: 2062943277 Enrollment ID: I20240930000216 |
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