| Bluebird Counseling LLC | |
|
13980 Schavey Rd Dewitt MI 48820-9013 | |
| (802) 922-3848 | |
| (517) 669-8592 |
| Full Name | Bluebird Counseling LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 13980 Schavey Rd, Dewitt, Michigan |
| Authorized Official Name and Position | Rebecca Fitton (OWNER) |
| Authorized Official Contact | 8029223848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluebird Counseling LLC 13980 Schavey Rd Dewitt MI 48820-9013 | Bluebird Counseling LLC 13980 Schavey Rd Dewitt MI 48820-9013 Ph: (802) 922-3848 |
| NPI Number | 1528725116 |
|---|---|
| Provider Enumeration Date | 11/18/2021 |
| Last Update Date | 06/08/2022 |
| Certification Date | 06/08/2022 |
| Medicare PECOS PAC ID | 9436685476 |
|---|---|
| Medicare Enrollment ID | O20241213000609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528725116 | NPI | - | NPPES |
| VS0221061 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | () | Primary |
| Provider Name | Rebecca Fitton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003035601 PECOS PAC ID: 5496849143 Enrollment ID: I20241213000636 |
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