| Mackenzie Michael Crandall, LLPC, MA, TLLP | |
|
5980 S Main St Ste 101, Clarkston, MI 48346-2377 | |
| (248) 625-2970 | |
| Not Available |
| Full Name | Mackenzie Michael Crandall |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 5980 S Main St Ste 101, Clarkston, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003514019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 6451022802 (Michigan) | Primary |
| 103TC1900X | Psychologist - Counseling | 6362009701 (Michigan) | Secondary |
| Entity Name | Kindmind Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730897711 PECOS PAC ID: 3476922006 Enrollment ID: O20221202002772 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Michael Crandall, LLPC, MA, TLLP 2375 Walton Blvd Unit 4, Rochester Hills, MI 48309-1459 Ph: (248) 200-8023 | Mackenzie Michael Crandall, LLPC, MA, TLLP 5980 S Main St Ste 101, Clarkston, MI 48346-2377 Ph: (248) 625-2970 |
Scott A Hall, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5869 Dixie Hwy, Clarkston, MI 48346 Phone: 248-909-1869 Fax: 248-605-8599 |
Nicole Harty, Counselor Medicare: May Accept Medicare Assignments Practice Location: 7640 Dixie Hwy Ste 155, Clarkston, MI 48346 Phone: 248-791-9266 |
Mrs. Rebecca Sue Walker, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9220 Sashabaw Rd, Clarkston, MI 48348 Phone: 810-348-4853 |
Allison Ann Irving, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6851 Clintonville Rd, Clarkston, MI 48348 Phone: 313-268-4276 |
Ms. Kaura H. Africa, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8062 Ortonville Rd, Clarkston, MI 48348 Phone: 248-625-2970 |
Ms. Marie Anna Megahan, M.A. IN COUNSELING Counselor Medicare: Not Enrolled in Medicare Practice Location: 8062 Ortonville Rd, Clarkston, MI 48348 Phone: 248-625-2970 |
Paige Tulpa, SCL, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5565 Pine Knob Rd, Clarkston, MI 48346 Phone: 248-623-4214 |