| Brigid Eilleen Havens, LPC | |
|
2222 W Grand River Ave Ste A, Okemos, MI 48864-1604 | |
| (906) 319-8725 | |
| Not Available |
| Full Name | Brigid Eilleen Havens |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 2222 W Grand River Ave Ste A, Okemos, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902533805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 6401224540 (Michigan) | Primary |
| Entity Name | Centennial Park Counseling Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689814469 PECOS PAC ID: 7517340557 Enrollment ID: O20220824000337 |
| Entity Name | Life Change Therapy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275338857 PECOS PAC ID: 8628590320 Enrollment ID: O20250324000462 |
| Mailing Address | Practice Location Address |
|---|---|
| Brigid Eilleen Havens, LPC 881 44th St Sw Uppr, Wyoming, MI 49509-4413 Ph: () - | Brigid Eilleen Havens, LPC 2222 W Grand River Ave Ste A, Okemos, MI 48864-1604 Ph: (906) 319-8725 |
Rhonda M Earley, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2165 Commons Pkwy, Suite C, Okemos, MI 48864 Phone: 517-381-1770 | |
Constansia Mutinda Maundupajak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2172 Commons Pkwy Ste C, Okemos, MI 48864 Phone: 517-488-8283 | |
Ms. Sheila Marie Krieger, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2390 Woodlake Dr Ste 380, Okemos, MI 48864 Phone: 517-999-1104 | |
Mr. Hedlun Walton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1886 Shadywood Ln, Okemos, MI 48864 Phone: 517-614-1532 | |
Mitchell L Smith, LLPC Counselor Medicare: Medicare Enrolled Practice Location: 3899 Okemos Rd Ste A1, Okemos, MI 48864 Phone: 517-507-5892 | |
Ashleigh Marlene Cole, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2549 Jolly Rd Ste 380, Okemos, MI 48864 Phone: 517-300-6950 | |
Mary Johanna Gallagher, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1874 Penobscot Dr, Okemos, MI 48864 Phone: 989-708-9387 |