| Steffanie Lyn Boudreau-thomas, MA, LPC, LMFT | |
|
114 Orchard Lake Rd, Pontiac, MI 48341-2244 | |
| (248) 858-7766 | |
| (248) 858-7201 |
| Full Name | Steffanie Lyn Boudreau-thomas |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 114 Orchard Lake Rd, Pontiac, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548462039 | NPI | - | NPPES |
| 1883825 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 6401008808 (Michigan) | Secondary |
| 106H00000X | Marriage & Family Therapist | 4101006290 (Michigan) | Primary |
| Entity Name | Macomb Family Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831190701 PECOS PAC ID: 5193700888 Enrollment ID: O20040618000345 |
| Mailing Address | Practice Location Address |
|---|---|
| Steffanie Lyn Boudreau-thomas, MA, LPC, LMFT 114 Orchard Lake Rd, Pontiac, MI 48341-2244 Ph: (248) 858-7766 | Steffanie Lyn Boudreau-thomas, MA, LPC, LMFT 114 Orchard Lake Rd, Pontiac, MI 48341-2244 Ph: (248) 858-7766 |
Miriam Elson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 114 Orchard Lake Rd, Pontiac, MI 48341 Phone: 248-858-7766 | |
Mary Nedela Evans, LLMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 114 Orchard Lake Rd, Pontiac, MI 48341 Phone: 248-858-7766 Fax: 248-858-7201 | |
Kendra Hathaway, LLMFT, FLE Couples Therapy Medicare: Medicare Enrolled Practice Location: 462 N Telegraph Rd, Pontiac, MI 48341 Phone: 248-234-7540 |