Mr Tim D Davis, LPC | |
5816 Eastman Ave, Midland, MI 48640-6792 | |
(989) 244-1888 | |
(989) 321-6544 |
Full Name | Mr Tim D Davis |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 5816 Eastman Ave, Midland, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154670735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3379 (Colorado) | Secondary |
101YP2500X | Counselor - Professional | 6401019625 (Michigan) | Primary |
Entity Name | Your Time Behavioral & Mental Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669179545 PECOS PAC ID: 6002272895 Enrollment ID: O20230522000743 |
Mailing Address | Practice Location Address |
---|---|
Mr Tim D Davis, LPC 5816 Eastman Ave, Midland, MI 48640-6792 Ph: (989) 244-1888 | Mr Tim D Davis, LPC 5816 Eastman Ave, Midland, MI 48640-6792 Ph: (989) 244-1888 |
Kayla Mogg, LLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1714 Eastman Ave, Midland, MI 48640 Phone: 989-631-5390 | |
Carole Calvert-baxter, MA-LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1714 Eastman Ave, Midland, MI 48640 Phone: 989-631-5390 Fax: 989-631-0488 | |
Mrs. Carol Lindley Boothroyd, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1714 Eastman Ave, Midland, MI 48640 Phone: 989-631-5390 Fax: 989-631-0488 | |
Libbee Jo Kelingos, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2528 W Wackerly St, Midland, MI 48640 Phone: 989-832-0191 Fax: 989-486-9413 | |
Mrs. Caroline Barker Giblin, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2528 W Wackerly St, Midland, MI 48640 Phone: 989-859-7633 Fax: 989-486-9413 | |
Mrs. Deanna L. Hodgson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1714 Eastman Ave, Midland, MI 48640 Phone: 989-631-5390 | |
Dr. Lisa Marie Mcilvenna, DMIN Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 W Larkin St, Midland, MI 48640 Phone: 989-835-7511 Fax: 898-357-5112 |