| Maria Mulligan, LPC | |
|
3111 Electric Ave, Port Huron, MI 48060-8127 | |
| (810) 985-8900 | |
| Not Available |
| Full Name | Maria Mulligan |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 3111 Electric Ave, Port Huron, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851967814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 6401224853 (Michigan) | Primary |
| Entity Name | St Clair County Community Mental Health Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689783672 PECOS PAC ID: 7416861984 Enrollment ID: O20031118000783 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Mulligan, LPC 3111 Electric Ave, Port Huron, MI 48060-8127 Ph: () - | Maria Mulligan, LPC 3111 Electric Ave, Port Huron, MI 48060-8127 Ph: (810) 985-8900 |
Rebecca Lynn Guerra, M.A., LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Superior St, Port Huron, MI 48060 Phone: 810-455-0102 Fax: 810-984-8896 | |
Adam Charles Mchenry, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Military St, Port Huron, MI 48060 Phone: 810-985-5168 Fax: 810-248-1568 | |
Kari Kathleen Trempler, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Superior St, Port Huron, MI 48060 Phone: 810-984-4202 Fax: 810-984-8896 | |
Alleaner Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Military St, Port Huron, MI 48060 Phone: 810-987-7050 | |
Amy Sue Smith, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-966-7830 Fax: 810-985-7620 | |
Mrs. Lindsay Alice Krauskopf, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Military St, Port Huron, MI 48060 Phone: 810-985-5168 Fax: 800-248-1568 | |
Brandi Demetroff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2414 Petit St, Port Huron, MI 48060 Phone: 810-238-0483 |