| Mr Blake Giovanni Soulet, LPC | |
|
6960 Orchard Lake Rd Ste 202, West Bloomfield, MI 48322-4519 | |
| (248) 985-9942 | |
| (248) 221-1775 |
| Full Name | Mr Blake Giovanni Soulet |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 2 Years |
| Location | 6960 Orchard Lake Rd Ste 202, West Bloomfield, Michigan |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265297378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6451023525 (Michigan) | Primary |
| Entity Name | Ellie Mental Health Live Authentic PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760193031 PECOS PAC ID: 0648644658 Enrollment ID: O20230314002233 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Blake Giovanni Soulet, LPC 5384 Bentley Rd Apt 106, West Bloomfield, MI 48322-2189 Ph: (248) 736-7541 | Mr Blake Giovanni Soulet, LPC 6960 Orchard Lake Rd Ste 202, West Bloomfield, MI 48322-4519 Ph: (248) 985-9942 |
Dylan Jay Foster, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7142 Chimney Hill Dr, Apt 3205, West Bloomfield, MI 48322 Phone: 231-920-8749 |
Mrs. Victoria Marie Schreiber, M.A., L.M.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7383 Radcliff Dr, West Bloomfield, MI 48322 Phone: 248-476-4515 Fax: 248-661-8810 |
Joseph Edwards, MA, LBSW, CAAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6555 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-592-2300 Fax: 248-592-2340 |
Ms. Francine Lynn Sexton, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6130 Cochise Dr, West Bloomfield, MI 48322 Phone: 248-752-5080 |
Staci Zonca, MA LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2716 Warner Dr, West Bloomfield, MI 48324 Phone: 248-464-3859 |
Mrs. Joan Frances Lazar, MA, LLP, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 6024 W Maple Rd, Suite 107, West Bloomfield, MI 48322 Phone: 248-489-1550 Fax: 248-489-9767 |
Mrs. Valerie Anne Brenneman, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 5745 W. Maple Rd., Suite 202, West Bloomfield, MI 48322 Phone: 248-862-5110 Fax: 844-893-1355 |