| Water's Edge Counseling Services, Llc | |
|
71901 County Road 388 South Haven MI 49090-9336 | |
| (269) 872-3625 | |
| Not Available |
| Full Name | Water's Edge Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 71901 County Road 388, South Haven, Michigan |
| Authorized Official Name and Position | Kelly Pinney Ellis (CEO, THERAPIST) |
| Authorized Official Contact | 2692141234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Water's Edge Counseling Services, Llc 71901 County Road 388 South Haven MI 49090-9336 Ph: (269) 872-3625 | Water's Edge Counseling Services, Llc 71901 County Road 388 South Haven MI 49090-9336 Ph: (269) 872-3625 |
| NPI Number | 1447706759 |
|---|---|
| Provider Enumeration Date | 08/27/2016 |
| Last Update Date | 08/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447706759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6401011487 (Michigan) | Primary |
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