MR. BRUCE ALBERT HEUSTIS


Address: 11017 Herring St, Marcellus, MI 49067-9412
Phone: 2692445818

MR. BRUCE ALBERT HEUSTIS (NPI# 1215177613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215177613
Entity Type Individual
Full Name MR. BRUCE ALBERT HEUSTIS
Credential LPC
Practice Address 11017 Herring St
Marcellus
MI 49067-9412
Practice Telephone 2692445818
Practice Fax Number 2694926088
Mailing Telephone 2692445818
Mailing Fax Number 2694926088
Enumeration Date 2009-02-24
Last Update Date 2009-02-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
6401009464 MI Behavioral Health & Social Service Providers

Office Location

Street Address 11017 HERRING ST
City MARCELLUS
State MI
Zip Code 49067-9412

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1245668383 Three Rivers Health System, Inc Clinic/Center 110 E Main St, Marcellus, MI 49067-5102 2013-10-29
1043439946 Marcellus Market Inc. Pharmacy 101 E Main St, Marcellus, MI 49067-8523 2007-04-25
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1851343297 Marcellus Area Emergency Services Association Ambulance 177 E Main St, Marcellus, MI 49067-8523 2006-05-16
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1194081778 Deborah Jean Spencer Counselor 52986 Chamberlain Rd, Marcellus, MI 49067-9325 2012-04-08
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City MARCELLUS
Zip Code 49067

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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