| Eastern Michigan Counseling Associates | |
|
1600 Gratiot Blvd Bldg. B, Suite 4 Marysville MI 48040-1145 | |
| (810) 364-5800 | |
| (810) 364-1200 |
| Full Name | Eastern Michigan Counseling Associates |
|---|---|
| Speciality | Psychologist |
| Location | 1600 Gratiot Blvd, Marysville, Michigan |
| Authorized Official Name and Position | Dianna Lynn Pratt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8103645800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Michigan Counseling Associates 1600 Gratiot Blvd Bldg. B, Suite 4 Marysville MI 48040-1145 Ph: (810) 364-5800 | Eastern Michigan Counseling Associates 1600 Gratiot Blvd Bldg. B, Suite 4 Marysville MI 48040-1145 Ph: (810) 364-5800 |
| NPI Number | 1639234115 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2062511934 |
|---|---|
| Medicare Enrollment ID | O20070619000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639234115 | NPI | - | NPPES |
| Provider Name | Dianna L Pratt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639209422 PECOS PAC ID: 9032125380 Enrollment ID: I20060224000062 |
| Provider Name | Michelle M Rousseau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366555286 PECOS PAC ID: 6507968716 Enrollment ID: I20070219000394 |
| Provider Name | Courtney L Mcclellan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508268251 PECOS PAC ID: 6406077064 Enrollment ID: I20141023001043 |
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