Blue Water Mental Health Clinic in Fort Gratiot - Professional
Blue Water Mental Health Clinic - NPI 1578601522
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 1578601522. 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 | 1578601522 |
|---|---|
| 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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What is the unique identification code assigned to Blue Water Mental Health Clinic by the Centers for Medicare & Medicaid Services?
The Blue Water Mental Health Clinic has been issued the NPI (National Provider Identifier) 1578601522. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Blue Water Mental Health Clinic's facilities are geographically located?
The facilities of Blue Water Mental Health Clinic are physically situated at the following location: 1501 Krafft Rd, Fort Gratiot, MI, 480593565.
What is Blue Water Mental Health Clinic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Blue Water Mental Health Clinic is Professional, and the taxonomy classification code that categorizes this area of expertise is 101Yp2500X.
When was the Blue Water Mental Health Clinic's 1578601522 issued?
The Blue Water Mental Health Clinic's 1578601522 was issued on 2007-02-02.
When was the information pertaining to Blue Water Mental Health Clinic most recently updated or revised?
The details related to Blue Water Mental Health Clinic, including its address, specialty, and other relevant information, were last updated or revised on 2010-12-28.
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