Blue Water Mental Health Clinic in Fort Gratiot - Professional
Blue Water Mental Health Clinic - NPI 1467590406
Blue Water Mental Health Clinic is a Professional in Fort Gratiot, Michigan. Blue Water Mental Health Clinic practices all healthcare services and medical treatments related to Professional. The NPI Number for Blue Water Mental Health Clinic is 1467590406. The last update date is 2010-12-28.
Blue Water Mental Health Clinic's current location address is 1501 Krafft Rd, Fort Gratiot, Michigan. You can contact this provider via phone number 8109855125 and fax number 8109855127. The mailing address for Blue Water Mental Health Clinic is 1501 Krafft Rd, Fort Gratiot, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blue Water Mental Health Clinic |
|---|---|
| Address | 1501 Krafft Rd, Fort Gratiot, Michigan |
| Phone Number | 8109855125 |
| Fax Number | 8109855127 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Liethen A. Linda |
| Credentials | LLP |
| Telephone Number | 8109855125 |
NPI Number Detail
| NPI Number | 1467590406 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2010-12-28 |
Provider Mailing Address Detail
| Address | 1501 Krafft Rd |
|---|---|
| City | Fort Gratiot |
| State | Michigan (MI) |
| Post Code | 480593565 |
| Phone Number | 8109855125 |
| Fax Number | 8109855127 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Post Comment/ Review Below
What is the unique identifier code issued to Blue Water Mental Health Clinic by the Centers for Medicare & Medicaid Services?
The Blue Water Mental Health Clinic has been assigned the NPI (National Provider Identifier) 1467590406. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Blue Water Mental Health Clinic?
The Blue Water Mental Health Clinic is physically situated at 1501 Krafft Rd, in the city of Fort Gratiot, state of MI, with the postal code 480593565.
What is Blue Water Mental Health Clinic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Blue Water Mental Health Clinic is Professional, and the taxonomy code that classifies this field of practice is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1467590406 to Blue Water Mental Health Clinic?
The Centers for Medicare & Medicaid Services originally issued the 1467590406 to Blue Water Mental Health Clinic on 2007-02-02.
As of what date were the details related to Blue Water Mental Health Clinic most recently updated or revised?
The information pertaining to Blue Water Mental Health Clinic, including its address, specialty, and other relevant details, was last updated or revised on 2010-12-28.