| Pamela Beattie, | |
| 
					1555 W Big Beaver Rd Fl 2, Troy, MI 48084-3525  | |
| (855) 284-7483 | |
| (617) 807-0958 | 
| Full Name | Pamela Beattie | 
|---|---|
| Gender | Female | 
| Speciality | Marriage & Family Therapist | 
| Location | 1555 W Big Beaver Rd Fl 2, Troy, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1952086415 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 4101006588 (Michigan) | Primary | 
| Entity Name | Lakeside Professional Counseling Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073084083 PECOS PAC ID: 8729483078 Enrollment ID: O20210824003131  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pamela Beattie, Po Box 748465, Atlanta, GA 30374-8465 Ph: (855) 284-7483  | Pamela Beattie, 1555 W Big Beaver Rd Fl 2, Troy, MI 48084-3525 Ph: (855) 284-7483  | 
Ms. Monica Lynn Nagle,  Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084 Phone: 248-646-6659 Fax: 248-642-8645  | |
Megan Lynn Safford Nishibori, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 850 Stephenson Hwy, Troy, MI 48083 Phone: 248-585-3239  | |
Mrs. Carrie Joan Krawiec, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084 Phone: 248-282-2337  | |
Iryna Morhunova, LLMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4144 Easton Way Ct, Troy, MI 48085 Phone: 248-752-0394  | |
Raelynn Sanchez,  Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 675 E Big Beaver Rd, Troy, MI 48083 Phone: 248-677-1421  | |
Jordan Ditsch, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1777 Axtell Dr Ste 100, Troy, MI 48084 Phone: 734-331-0293  | |
Birch Ryder Snogles,  Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1777 Axtell Dr, Troy, MI 48084 Phone: 315-864-0110  |