Blue Water Serenity Counseling Pllc

LBN: Blue Water Serenity Counseling Pllc
Blue Water Serenity Counseling Pllc is an health care organization with primary practice located at 5429 Shorewood Dr , Fort Gratiot MI 48059-3138. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Blue Water Serenity Counseling Pllc can be contacted via phone (810) 357-1725, or through Johnson, Alexis via phone (810) 824-4865.

Contact Information

Primary practice address
5429 Shorewood Dr Fort Gratiot MI 48059-3138
Phone: (810) 357-1725
Fax: (810) 824-4865
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Alexis LMSW,CADC
Phone: (810) 824-4865

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1023415072
LBN Legal business name Blue Water Serenity Counseling Pllc
DBA Doing business as
Authorized official Johnson, Alexis LMSW,CADC
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2014
Last updated Dec 8th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023415072 NPPES
Michigan Other 1609118637 NATIONAL PROVIDER IDENTIFICATION

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