| Michelle Blue, | |
|
1800 Park Newport Apt 206, Newport Beach, CA 92660-5040 | |
| (310) 962-0432 | |
| Not Available |
| Full Name | Michelle Blue |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 1800 Park Newport Apt 206, Newport Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073910964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 141968 (California) | Primary |
| Entity Name | Brightside Medical Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609335660 PECOS PAC ID: 3678948809 Enrollment ID: O20230425001219 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Blue, 4393 S Mountain View Rd, Fort Mohave, AZ 86426-5396 Ph: (607) 265-3274 | Michelle Blue, 1800 Park Newport Apt 206, Newport Beach, CA 92660-5040 Ph: (310) 962-0432 |
Leilani Jane Carinio, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1151 Dove St Ste 245, Newport Beach, CA 92660 Phone: 714-585-9447 | |
Ms. Jacqueline Islas, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1151 Dove St Ste 140, Newport Beach, CA 92660 Phone: 949-630-5006 | |
Michelle Hobson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2 Corporate Plaza Dr, Newport Beach, CA 92660 Phone: 949-386-2656 | |
Daniella E Leon, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4000 Macarthur Blvd, Newport Beach, CA 92660 Phone: 424-999-5798 | |
Rosemarie Dahlstrom, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1000 Quail St Ste 155, Newport Beach, CA 92660 Phone: 949-777-6694 | |
Rachel Mitchell, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4060 Campus Dr Ste 120, Newport Beach, CA 92660 Phone: 562-343-0836 | |
Mrs. Joanne Meyerson, MARRIAGE AND FAMILY Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1400 Quail Street, # 235, Newport Beach, CA 92660 Phone: 949-559-6600 Fax: 949-559-4909 |