| Woodlands Behavioral Healthcare Network | |
|
960 M 60 E Cassopolis MI 49031-9339 | |
| (269) 445-2451 | |
| (269) 445-3216 |
| Full Name | Woodlands Behavioral Healthcare Network |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 960 M 60 E, Cassopolis, Michigan |
| Authorized Official Name and Position | John Ruddell (CEO) |
| Authorized Official Contact | 2694452451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodlands Behavioral Healthcare Network 960 E State St Cassopolis MI 49031-9339 Ph: (269) 445-2451 | Woodlands Behavioral Healthcare Network 960 M 60 E Cassopolis MI 49031-9339 Ph: (269) 445-2451 |
| NPI Number | 1659375293 |
|---|---|
| Provider Enumeration Date | 06/10/2005 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Medicare PECOS PAC ID | 8729973227 |
|---|---|
| Medicare Enrollment ID | O20040216000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659375293 | NPI | - | NPPES |
| 1182125 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Tonya T Cosey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881699593 PECOS PAC ID: 3173506615 Enrollment ID: I20040608000184 |
| Provider Name | Muktiraj B Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588658017 PECOS PAC ID: 8921086315 Enrollment ID: I20040712001039 |
| Provider Name | Robert J Weber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629273289 PECOS PAC ID: 8729234026 Enrollment ID: I20120801000627 |
| Provider Name | Paul B Schneeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649528332 PECOS PAC ID: 6507017233 Enrollment ID: I20121106000508 |
| Provider Name | Jamie Elizabeth Ailes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033624275 PECOS PAC ID: 1759669195 Enrollment ID: I20210330001389 |
| Provider Name | Valerie N Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649781493 PECOS PAC ID: 8729496518 Enrollment ID: I20210708000295 |
| Provider Name | Audrea Darlene Labadie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154864999 PECOS PAC ID: 9133516438 Enrollment ID: I20220504001865 |
| Provider Name | Candyce Renee Buysse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801483631 PECOS PAC ID: 5698153088 Enrollment ID: I20220525001103 |
| Provider Name | Darcie Ball |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891288692 PECOS PAC ID: 1759761422 Enrollment ID: I20220712002121 |
| Provider Name | Justin Michael Mccammon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710346945 PECOS PAC ID: 2264885896 Enrollment ID: I20240130001969 |
| Provider Name | Lisa J Dulcet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760613681 PECOS PAC ID: 0648613877 Enrollment ID: I20240205003130 |
| Provider Name | Rita Spence |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093359135 PECOS PAC ID: 9032552278 Enrollment ID: I20240205003395 |
| Provider Name | Jodie Hurd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558035626 PECOS PAC ID: 8224471339 Enrollment ID: I20240206001835 |
| Provider Name | Mindi Lane Nahikian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104056662 PECOS PAC ID: 1759724727 Enrollment ID: I20240206004299 |
| Provider Name | Kendra Edwards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124464755 PECOS PAC ID: 1456796622 Enrollment ID: I20240227003010 |
Mighty Warrior Wellness, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 S Broadway St, Cassopolis, MI 49031 Phone: 269-414-8534 |