| 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 |
| Provider Name | Shelby Kittleson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942924493 PECOS PAC ID: 8022551399 Enrollment ID: I20240615000111 |
| Provider Name | Brian D Leidal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154083897 PECOS PAC ID: 5496299018 Enrollment ID: I20240706000136 |
| Provider Name | Stephanie Germain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952916223 PECOS PAC ID: 7113461732 Enrollment ID: I20240706000137 |
| Provider Name | Alexandra Valentino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972087112 PECOS PAC ID: 6204370828 Enrollment ID: I20240706000167 |
| Provider Name | Connor Jewell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205485497 PECOS PAC ID: 8921542564 Enrollment ID: I20240707000069 |
| Provider Name | Miles Keller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992307458 PECOS PAC ID: 5799220265 Enrollment ID: I20240709004522 |
| Provider Name | Bethany N Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750956405 PECOS PAC ID: 6608247192 Enrollment ID: I20240725001063 |
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