| Amanda Doster, | |
|
24461 Willow Ln, Novi, MI 48375-2863 | |
| (231) 730-2155 | |
| (734) 585-7977 |
| Full Name | Amanda Doster |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 24461 Willow Ln, Novi, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043784796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Brightside Medical Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144800350 PECOS PAC ID: 9830562776 Enrollment ID: O20230404001178 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Doster, 24461 Willow Ln, Novi, MI 48375-2863 Ph: (231) 730-2155 | Amanda Doster, 24461 Willow Ln, Novi, MI 48375-2863 Ph: (231) 730-2155 |
Katina R Johnson-pease, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 41521 W 11 Mile Rd, Novi, MI 48375 Phone: 248-299-0030 | |
Michelle Rice Ghee, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22226 Solomon Blvd, 232, Novi, MI 48375 Phone: 248-470-0655 | |
Ms. Tracy M Safranski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 24230 Karim Blvd Ste 100, Novi, MI 48375 Phone: 248-724-6195 | |
Cristen Adell Zaleski, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 44000 W 12 Mile Rd Ste 101, Novi, MI 48377 Phone: 248-226-3013 Fax: 248-347-6479 | |
Mr. John Andrew Sternfels, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23895 Novi Rd, #300, Novi, MI 48375 Phone: 248-773-8440 | |
Mrs. Nadia Samhouri Sater, LPC, AT-R, NBCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 27093 Ladbroke St, Novi, MI 48374 Phone: 248-321-1930 |