| Timber Creek Counseling, Llc | |
|
14800 E Old Us Highway 12 Chelsea MI 48118-2110 | |
| (734) 719-0380 | |
| Not Available |
| Full Name | Timber Creek Counseling, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 14800 E Old Us Highway 12, Chelsea, Michigan |
| Authorized Official Name and Position | Andrew Cuthbert (OWNER) |
| Authorized Official Contact | 7347190380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timber Creek Counseling, Llc 14800 E Old Us Highway 12 Chelsea MI 48118-2110 Ph: (734) 719-0380 | Timber Creek Counseling, Llc 14800 E Old Us Highway 12 Chelsea MI 48118-2110 Ph: (734) 719-0380 |
| NPI Number | 1194213322 |
|---|---|
| Provider Enumeration Date | 04/24/2018 |
| Last Update Date | 07/03/2024 |
| Certification Date | 07/03/2024 |
| Medicare PECOS PAC ID | 4688004815 |
|---|---|
| Medicare Enrollment ID | O20200430001328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194213322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Andrew Cuthbert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528597929 PECOS PAC ID: 1850720053 Enrollment ID: I20200504001117 |
| Provider Name | Abigail Fedewa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295252534 PECOS PAC ID: 9537530027 Enrollment ID: I20240606004105 |
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