| Creekside Counseling Group Llc | |
|
10683 S Saginaw St Ste B Grand Blanc MI 48439-8127 | |
| (810) 771-4074 | |
| (810) 866-4450 |
| Full Name | Creekside Counseling Group Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10683 S Saginaw St Ste B, Grand Blanc, Michigan |
| Authorized Official Name and Position | Heather Renee Murphy (OWNER) |
| Authorized Official Contact | 8104223708 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Counseling Group Llc 10683 S Saginaw St Ste B Grand Blanc MI 48439-8127 Ph: (810) 771-4074 | Creekside Counseling Group Llc 10683 S Saginaw St Ste B Grand Blanc MI 48439-8127 Ph: (810) 771-4074 |
| NPI Number | 1619550860 |
|---|---|
| Provider Enumeration Date | 05/04/2021 |
| Last Update Date | 08/22/2023 |
| Certification Date | 08/22/2023 |
| Medicare PECOS PAC ID | 9133521255 |
|---|---|
| Medicare Enrollment ID | O20210713000742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619550860 | NPI | - | NPPES |
| Provider Name | Carla D Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649220732 PECOS PAC ID: 4385657717 Enrollment ID: I20060801000157 |
| Provider Name | Michelle L Consavage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841416328 PECOS PAC ID: 2961596960 Enrollment ID: I20070921000252 |
| Provider Name | Joanne K Ingram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144471046 PECOS PAC ID: 7012072457 Enrollment ID: I20090218000280 |
| Provider Name | Karen Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649547266 PECOS PAC ID: 3870882962 Enrollment ID: I20160512001213 |
| Provider Name | Heather Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972094936 PECOS PAC ID: 2567713910 Enrollment ID: I20180924002104 |
| Provider Name | Olivia K Tucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003278631 PECOS PAC ID: 7911246392 Enrollment ID: I20190301000169 |
| Provider Name | Kathleen C Enersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154797322 PECOS PAC ID: 6002236270 Enrollment ID: I20201009001547 |
| Provider Name | Jasmine L Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669832663 PECOS PAC ID: 9931516788 Enrollment ID: I20210324000520 |
| Provider Name | Quintin Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427423359 PECOS PAC ID: 0648678599 Enrollment ID: I20211007002562 |
| Provider Name | Tanya Roe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164852430 PECOS PAC ID: 6901279611 Enrollment ID: I20230228001844 |
| Provider Name | Rene Ayanna Amsterdam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407476526 PECOS PAC ID: 0345609111 Enrollment ID: I20230711004092 |
| Provider Name | Chelsee Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316512510 PECOS PAC ID: 6608239702 Enrollment ID: I20230822003132 |
| Provider Name | Tamara Pobocik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740816289 PECOS PAC ID: 2264880996 Enrollment ID: I20231118000567 |
| Provider Name | Erica M Woodward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194440263 PECOS PAC ID: 1153774765 Enrollment ID: I20240131000953 |
| Provider Name | Leah Katherine Stadel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598374852 PECOS PAC ID: 4688111982 Enrollment ID: I20240805001796 |
| Provider Name | Therese Ann Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972943686 PECOS PAC ID: 9739626045 Enrollment ID: I20240805002337 |
| Provider Name | Carla Anne Koon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770146284 PECOS PAC ID: 3072050228 Enrollment ID: I20240806000142 |
| Provider Name | Alisa Beth Rosario |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265022396 PECOS PAC ID: 5395282586 Enrollment ID: I20240806001634 |
| Provider Name | Shelley Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124899695 PECOS PAC ID: 0446790273 Enrollment ID: I20240909000506 |
| Provider Name | Monet Sutton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437765336 PECOS PAC ID: 4284165648 Enrollment ID: I20241009002466 |
| Provider Name | Karhonda Fails |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710649538 PECOS PAC ID: 2769919299 Enrollment ID: I20241223002280 |
| Provider Name | Laura Freeman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184128555 PECOS PAC ID: 4183152416 Enrollment ID: I20250114001256 |
| Provider Name | Susan Smallwood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104135961 PECOS PAC ID: 5294263539 Enrollment ID: I20250114002004 |
| Provider Name | Ashly Crosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396569562 PECOS PAC ID: 9436687647 Enrollment ID: I20250115000897 |
| Provider Name | Giovanni Parochetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588438568 PECOS PAC ID: 0446788616 Enrollment ID: I20250115003558 |
| Provider Name | Elizabeth Greeff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043045164 PECOS PAC ID: 3678097334 Enrollment ID: I20250403003363 |
| Provider Name | Deborah Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427487768 PECOS PAC ID: 0345764007 Enrollment ID: I20250403003550 |
| Provider Name | Cean Parmelee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518620376 PECOS PAC ID: 8123545167 Enrollment ID: I20250503000048 |
| Provider Name | Robin Norman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750138244 PECOS PAC ID: 8224547468 Enrollment ID: I20250530001774 |
| Provider Name | Sarah Petrofsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477285310 PECOS PAC ID: 4284143165 Enrollment ID: I20250602003474 |
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