| Brenda Weingartz, MA | |
|
51 Austin St, Sandusky, MI 48471-1244 | |
| (810) 689-4846 | |
| (810) 958-1430 |
| Full Name | Brenda Weingartz |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 51 Austin St, Sandusky, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891141289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 6401009066 (Michigan) | Primary |
| Entity Name | Lakeshore Therapy Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699180901 PECOS PAC ID: 9133347354 Enrollment ID: O20140902000502 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Weingartz, MA 5110 Hawthorn Dr, Brown City, MI 48416-8032 Ph: (810) 338-2927 | Brenda Weingartz, MA 51 Austin St, Sandusky, MI 48471-1244 Ph: (810) 689-4846 |
Breonna Galvan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 E Sanilac Rd, Sandusky, MI 48471 Phone: 810-648-0330 | |
Darlene Ann White, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 227 E Sanilac Rd, Sandusky, MI 48471 Phone: 106-480-3308 | |
Mrs. Grace Elaine Hassler, LBSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Green Acres, Sandusky, MI 48471 Phone: 810-648-0398 Fax: 810-648-2322 | |
Tayler Marie Berger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 E Sanilac Rd, Sandusky, MI 48471 Phone: 810-648-0330 | |
Trisha Pierce, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 N Elk St, Sandusky, MI 48471 Phone: 586-491-7598 | |
Ms. Cheryl Ann Mccoy, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 E Sanilac Rd, Sandusky, MI 48471 Phone: 810-648-0330 | |
Mr. Jack A Dutton, MA, LPC, LBSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 E Sanilac Rd, Sandusky, MI 48471 Phone: 810-583-0393 |