| Raymell English, | |
| 
					3785 Veterans Dr, Traverse City, MI 49684-4516  | |
| (231) 590-6248 | |
| Not Available | 
| Full Name | Raymell English | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Professional | 
| Location | 3785 Veterans Dr, Traverse City, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255700464 | NPI | - | NPPES | 
| 6401014217 | Medicaid | MI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6401014217 (Michigan) | Secondary | 
| 101YP2500X | Counselor - Professional | LPC.0016128 (Colorado) | Primary | 
| Entity Name | Sondermind Provider Network Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Raymell English, 3785 Veterans Drive, Traverse City, MI 49686 Ph: (231) 590-6248  | Raymell English, 3785 Veterans Dr, Traverse City, MI 49684-4516 Ph: (231) 590-6248  | 
Kimberly Manrique, M.S, L.P.C., A.T.R Counselor Medicare: Not Enrolled in Medicare Practice Location: 5798 Deer Trail Dr, Traverse City, MI 49684 Phone: 231-709-3177  | |
Breanne Ashly Pedersen,  Counselor Medicare: Medicare Enrolled Practice Location: 3298 Veterans Dr Ste 1, Traverse City, MI 49684 Phone: 231-715-8466 Fax: 231-943-2263  | |
Ms. Angela Lynn Merriman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1844 Oak Hollow Dr Ste B, Traverse City, MI 49686 Phone: 231-714-0282  | |
Deanne R Briggs, LPC, CAC III Counselor Medicare: Medicare Enrolled Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-6380 Fax: 231-935-6920  | |
Mrs. Emily Knapp, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7150 Lake Leelanau Dr, Traverse City, MI 49684 Phone: 231-649-2126  | |
Terry Gorton,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 E 8th St, Traverse City, MI 49684 Phone: 231-346-5221 Fax: 231-922-2095  | |
Jeanette Fay Peltola, PLC,MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 968 Harbor Ct, Traverse City, MI 49685 Phone: 231-632-1370  |