| Jeana M Burkhard, | |
|
805 S Van Dyke Rd Ste C, Bad Axe, MI 48413-9655 | |
| (810) 689-4846 | |
| (810) 958-1430 |
| Full Name | Jeana M Burkhard |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 805 S Van Dyke Rd Ste C, Bad Axe, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386136844 | NPI | - | NPPES |
| 1386136844 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6401017884 (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 |
|---|---|
| Jeana M Burkhard, 51 Austin Street, Sandusky, MI 48471 Ph: (810) 689-4846 | Jeana M Burkhard, 805 S Van Dyke Rd Ste C, Bad Axe, MI 48413-9655 Ph: (810) 689-4846 |
Eric Read, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 R Dale Wertz Dr, Bad Axe, MI 48413 Phone: 989-269-9293 Fax: 989-269-7544 | |
Betty Ann Smith, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 R Dale Wertz Dr, Bad Axe, MI 48413 Phone: 989-269-9293 | |
Briana Harless, MA, CAADC Counselor Medicare: Medicare Enrolled Practice Location: 1357 S Van Dyke Rd, Bad Axe, MI 48413 Phone: 417-849-8501 | |
Kelsie Rich, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 R Dale Wertz Dr, Bad Axe, MI 48413 Phone: 989-269-9293 | |
Karen Link, M.A. LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1375 R Dale Wertz Dr, Bad Axe, MI 48413 Phone: 989-269-9293 | |
Ms. Tammy Lee Edmonds, MA LPC NCC CCTP Counselor Medicare: Medicare Enrolled Practice Location: 128 W Huron Ave Ste C, Bad Axe, MI 48413 Phone: 989-269-5180 Fax: 989-623-0398 |