WILLOW FAMILY COUNSELING PLLC (NPI# 1578022943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578022943 |
Entity Type | Organization |
Organization Name | WILLOW FAMILY COUNSELING PLLC |
Practice Address |
7274 Dixie Hwy Bridgeport MI 48722-9702 |
Mailing Address |
Po Box 90674 Burton MI 48509-0674 |
Practice Telephone | 9893158375 |
Enumeration Date | 2019-03-15 |
Last Update Date | 2019-03-15 |
Authorized Official Name | TYLER D BREWER (PROFESSIONAL COUNSELOR) |
Authorized Official Telephone | 9893158375 |
Authorized Official Credential | LLPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
Street Address |
7274 DIXIE HWY |
City | BRIDGEPORT |
State | MI |
Zip Code | 48722-9702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811380868 | Rachel S Sherman | Counselor | 7274 Dixie Hwy, Bridgeport, MI 48722-9702 | 2015-03-16 |
1003425588 | Patrice M Wolinski | Counselor | 7274 Dixie Hwy, Bridgeport, MI 48722-9702 | 2020-07-30 |
1366082224 | Forward Light Counseling Services Pllc | Counselor | 7274 Dixie Hwy, Bridgeport, MI 48722-9702 | 2020-01-08 |
1376016261 | Guidepost Counseling Services, Pllc | Counselor | 7274 Dixie Hwy, Bridgeport, MI 48722 | 2019-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710584305 | Ryan Abraham Labean | Behavior Technician | 6296 Village Square Drive, Suite 2, Bridgeport, MI 48722 | 2020-10-06 |
1760787360 | Melinda Eve Bierlein | Physical Therapist | 5460 W. Rolling Hills Drive, Bridgeport, MI 48722 | 2011-01-13 |
1497098594 | Nicole Marie Judson | Physical Therapist | 5460 W Rolling Hills Dr, Bridgeport, MI 48722 | 2013-03-27 |
1659600377 | Kevin J Luptowski | Counselor | 6379 Dixie Hwy, Bridgeport, MI 48722 | 2009-12-08 |
1255472114 | Boettcher Home Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 6230 Dixie Hwy, Bridgeport, MI 48722-9513 | 2007-02-12 |
1356308480 | Bridgeport Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 6226 Dixie Hwy, Bridgeport, MI 48722-9513 | 2006-05-01 |
1114917242 | Bridgeport Pharmacy Inc | Pharmacist | 6224 Dixie Hwy, Bridgeport, MI 48722-9513 | 2005-10-28 |
1922581131 | Midmichigan Rx Services LLC | Pharmacy | 6224 Dixie Hwy, Bridgeport, MI 48722-9513 | 2018-09-13 |
1184120990 | Hemang Vinodchandra Patel | Pharmacist | 6224 Dixie Hwy, Bridgeport, MI 48722-9513 | 2018-04-02 |
1538674163 | Midmichigan Rx Services LLC | Pharmacy | 6224 Dixie Hwy, Bridgeport, MI 48722-9513 | 2017-12-05 |
Find all providers in zip 48722 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568006526 | Wendy Jones | Counselor | 297 Bradley St, Bridgeport, CT 06610-1911 | 2019-11-03 |
1881242485 | Jared Maggi | Counselor | 3250 Fairfield Ave Apt 212, Bridgeport, CT 06605-3271 | 2019-08-28 |
1396202289 | Joseph A Graziano Jr. | Counselor | 174 University Ave, Bridgeport, CT 06604-5728 | 2019-02-27 |
1780130674 | Gary Vertula | Counselor | 260 Robin St, Bridgeport, CT 06606-4440 | 2016-08-30 |
1275983512 | Janelle Titus | Counselor | 142 Wade St, Bridgeport, CT 06604-1817 | 2016-06-17 |
1558717181 | Catherine Mcauliffe | Counselor | 1000 Lafayette Blvd Fl 11, Bridgeport, CT 06604-4725 | 2016-05-12 |
1326408485 | Elisabeth Parker | Counselor | 1150 Fairfield Ave, Bridgeport, CT 06605-1118 | 2016-03-02 |
1831518513 | Yvonne Booy | Counselor | 46 Albion Street, Bridgeport, CT 06605 | 2014-04-10 |
1609292648 | Margaret Creeth | Counselor | 475 Clinton Avenue, Fsw Inc, Bridgeport, CT 06605-1700 | 2014-03-14 |
1548682560 | Rebecca Fiest | Counselor | 175 Ridgeway Dr, Bridgeport, WV 26330-1176 | 2014-01-10 |
Find all providers in BRIDGEPORT |
City | BRIDGEPORT |
Zip Code | 48722 |
Please comment or provide details below to improve the information on WILLOW FAMILY COUNSELING PLLC.
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.