| Nicole Marie Bryant, LPC | |
|
13101 Allen Rd, Southgate, MI 48195-2216 | |
| (734) 785-7700 | |
| Not Available |
| Full Name | Nicole Marie Bryant |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 26 Years |
| Location | 13101 Allen Rd, Southgate, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518205376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401011946 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Eastwood Behavioral Health | 2163324492 | 41 |
| Entity Name | Ascension Eastwood Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396787701 PECOS PAC ID: 2163324492 Enrollment ID: O20040126000572 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie Bryant, LPC 15593 Knollwood Dr, Dearborn, MI 48120-1353 Ph: (419) 944-4590 | Nicole Marie Bryant, LPC 13101 Allen Rd, Southgate, MI 48195-2216 Ph: (734) 785-7700 |
Elizabeth Magana Shaw, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd Ste 500, Southgate, MI 48195 Phone: 734-785-7700 Fax: 734-287-1953 | |
Kenicka Harper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700 | |
Caitlin Witt, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13305 Reeck Ct, Southgate, MI 48195 Phone: 734-225-2090 | |
Nichole Marbury, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700 Fax: 734-287-1953 | |
Amber Elizabeth Keyes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 989-598-0026 | |
Sinitra Applewhite, M.A Counselor Medicare: May Accept Medicare Assignments Practice Location: 1 Heritage Dr Ste 520, Southgate, MI 48195 Phone: 800-693-1916 | |
Lisa Goss, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13101 Allen Rd, Southgate, MI 48195 Phone: 734-785-7700 |