| Professional Counseling Service, Pllc | |
|
128 W Huron Ave Ste C Bad Axe MI 48413-1177 | |
| (989) 269-5180 | |
| (989) 623-0398 |
| Full Name | Professional Counseling Service, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 128 W Huron Ave Ste C, Bad Axe, Michigan |
| Authorized Official Name and Position | Tammy Edmonds (THERAPIST/ OWNER) |
| Authorized Official Contact | 9892695180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Counseling Service, Pllc Po Box 142 Bad Axe MI 48413-0142 Ph: (989) 269-5180 | Professional Counseling Service, Pllc 128 W Huron Ave Ste C Bad Axe MI 48413-1177 Ph: (989) 269-5180 |
| NPI Number | 1215195136 |
|---|---|
| Provider Enumeration Date | 05/28/2008 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Medicare PECOS PAC ID | 9739520206 |
|---|---|
| Medicare Enrollment ID | O20240515000996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215195136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | L 1121008 (Michigan) | Primary |
| Provider Name | Tammy Lee Edmonds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700024452 PECOS PAC ID: 1557702024 Enrollment ID: I20240515001252 |
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