| Brigid Eilleen Havens, LPC | |
|
Po Box 143, Calumet, MI 49913-0143 | |
| (906) 319-8725 | |
| Not Available |
| Full Name | Brigid Eilleen Havens |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 20 Years |
| Location | Po Box 143, Calumet, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902533805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6401224540 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centennial Park Counseling Pllc | 7517340557 | 8 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Brigid Eilleen Havens, LPC Po Box 143, Calumet, MI 49913-0143 Ph: (906) 319-8725 | Brigid Eilleen Havens, LPC Po Box 143, Calumet, MI 49913-0143 Ph: (906) 319-8725 |
Marcus Gloss, DP-CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 56720 Calumet Ave, Calumet, MI 49913 Phone: 906-483-1177 |
Jazmine Rozman, DP-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 56720 Calumet Ave, Calumet, MI 49913 Phone: 906-483-1177 Fax: 906-481-3094 |
Ms. Deborah Ann Makkonen, M.S., MFT, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 51454 Conglomerate St, Calumet, MI 49913 Phone: 906-296-2028 |
Robert William Sharkey, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 56730 Calumet Ave Ste F, Calumet, MI 49913 Phone: 906-337-6839 Fax: 906-337-0944 |