Blue Water Mental Health Clinic in Fort Gratiot - Clinical
Blue Water Mental Health Clinic - NPI 1457305419
Blue Water Mental Health Clinic is a Clinical in Fort Gratiot, Michigan. Blue Water Mental Health Clinic practices all healthcare services and medical treatments related to Clinical. The NPI Number for Blue Water Mental Health Clinic is 1457305419. The last update date is 2016-11-29.
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 | 1457305419 |
|---|---|
| Provider Enumeration Date | 2006-05-22 |
| Last Updated Date | 2016-11-29 |
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 | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Blue Water Mental Health Clinic's unique identification number?
The Blue Water Mental Health Clinic has been assigned the NPI (National Provider Identifier) Number 1457305419 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
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 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 Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Blue Water Mental Health Clinic receive its 1457305419 assignment from the Centers for Medicare & Medicaid Services?
The Blue Water Mental Health Clinic was assigned its 1457305419 by the Centers for Medicare & Medicaid Services on 2006-05-22.
As of what date were the details pertaining to Blue Water Mental Health Clinic last refreshed?
The information related to the Blue Water Mental Health Clinic, including its address, specialty, and other relevant details, was last updated on 2016-11-29.
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