| Brenda Lyn Easterling, MA, LPC | |
|
1110 W 8th St, Mio, MI 48647-9140 | |
| (989) 826-2400 | |
| Not Available |
| Full Name | Brenda Lyn Easterling |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1110 W 8th St, Mio, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649544073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6401012398 (Michigan) | Primary |
| 101YS0200X | Counselor - School | 6401012398 (Michigan) | Secondary |
| Entity Name | Thunder Bay Community Health Service Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629107552 PECOS PAC ID: 0143296772 Enrollment ID: O20040907000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Lyn Easterling, MA, LPC 1110 W 8th St, Mio, MI 48647-9140 Ph: (989) 826-2400 | Brenda Lyn Easterling, MA, LPC 1110 W 8th St, Mio, MI 48647-9140 Ph: (989) 826-2400 |
Lisa Ann Joy, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 42 N Mount Tom Rd, Mio, MI 48647 Phone: 989-826-3208 Fax: 989-826-6779 |
Debra K Alderton Pattullo, LPC Counselor Medicare: Medicare Enrolled Practice Location: 831 W. Miller Road, Mcog, Mio, MI 48647 Phone: 989-745-2531 |