| Ms Kathryn Elizabeth Whitlock, ATR-BC, LPC, CCTP-II | |
|
14411 Kingston St, Oak Park, MI 48237-1141 | |
| (248) 736-3347 | |
| Not Available |
| Full Name | Ms Kathryn Elizabeth Whitlock |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 14411 Kingston St, Oak Park, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962171835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6451019659 (Michigan) | Primary |
| Entity Name | New Branch Art Therapy Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245050020 PECOS PAC ID: 1658887955 Enrollment ID: O20250723001530 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kathryn Elizabeth Whitlock, ATR-BC, LPC, CCTP-II 14411 Kingston St, Oak Park, MI 48237-1141 Ph: (248) 736-3347 | Ms Kathryn Elizabeth Whitlock, ATR-BC, LPC, CCTP-II 14411 Kingston St, Oak Park, MI 48237-1141 Ph: (248) 736-3347 |
James Melvin Taylor, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 23300 Greenfield Rd, Suite 102, Oak Park, MI 48237 Phone: 313-433-3780 |
Kelly Marie Robinson, M.S., LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24251 Oneida St, Oak Park, MI 48237 Phone: 248-376-2540 |
Willie Mccullough, Counselor Medicare: Not Enrolled in Medicare Practice Location: 23751 Coyle St, Oak Park, MI 48237 Phone: 248-506-5891 |
Robin T Anderson, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10261 Corning St, Oak Park, MI 48237 Phone: 248-556-6370 |
Amy Lynn Chmielinski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25900 Greenfield Rd, Suite 405, Oak Park, MI 48237 Phone: 248-592-3965 |
Chrystyna Michelle Head, Counselor Medicare: Not Enrolled in Medicare Practice Location: 23300 Greenfield Rd Ste 122, Oak Park, MI 48237 Phone: 248-968-9508 Fax: 248-968-9516 |
Tonya Michele Kelley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21700 Greenfield Rd Ste 200, Oak Park, MI 48237 Phone: 248-703-2199 Fax: 313-580-1822 |