| Tara Blury Llc | |
|
1838 Portadown Sw Byron Center MI 49315-8081 | |
| (248) 930-5620 | |
| Not Available |
| Full Name | Tara Blury Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1838 Portadown Sw, Byron Center, Michigan |
| Authorized Official Name and Position | Tara Blury (OWNER) |
| Authorized Official Contact | 2489305620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Blury Llc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Tara Blury Llc 1838 Portadown Sw Byron Center MI 49315-8081 Ph: (248) 930-5620 |
| NPI Number | 1619378767 |
|---|---|
| Provider Enumeration Date | 09/09/2014 |
| Last Update Date | 09/09/2014 |
| Medicare PECOS PAC ID | 1951623495 |
|---|---|
| Medicare Enrollment ID | O20141211001055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619378767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801091145 (Michigan) | Primary |
| Provider Name | Tara M Blury |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467687913 PECOS PAC ID: 2769704204 Enrollment ID: I20141211001127 |
Westergren Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7740 Byron Center Ave Sw Ste 102, Byron Center, MI 49315 Phone: 616-367-5813 | |
Whidbeyhealth Telehealth Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1378 Tufton Dr, Byron Center, MI 49315 Phone: 360-678-5151 Fax: 360-678-7676 | |
Connections Counseling & Education Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8650 Byron Center Ave Sw Ste U5, Byron Center, MI 49315 Phone: 616-426-6829 | |
Grand Rapids Counseling And Consultation Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1239 76th St Sw Ste H4, Byron Center, MI 49315 Phone: 616-780-1243 | |
Grand Rapids Counseling And Consultation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1239 76th St Sw Ste H4, Byron Center, MI 49315 Phone: 616-780-1243 | |
Behavior Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2147 Center Grange Dr, Byron Center, MI 49315 Phone: 616-780-1114 Fax: 616-805-1525 | |
Journey Christian Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 546 76th St Sw, Byron Center, MI 49315 Phone: 616-890-0651 |