| Midwest Behavioral Clinic Llc | |
|
210 W Highland Rd Ste 102 Highland MI 48357-4573 | |
| (248) 529-3167 | |
| Not Available |
| Full Name | Midwest Behavioral Clinic Llc |
|---|---|
| Speciality | Psychologist |
| Location | 210 W Highland Rd Ste 102, Highland, Michigan |
| Authorized Official Name and Position | Myriam Jensen (OFFICER) |
| Authorized Official Contact | 8102151006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Behavioral Clinic Llc 210 W Highland Rd Ste 102 Highland MI 48357-4573 Ph: (810) 215-1006 | Midwest Behavioral Clinic Llc 210 W Highland Rd Ste 102 Highland MI 48357-4573 Ph: (248) 529-3167 |
| NPI Number | 1487146684 |
|---|---|
| Provider Enumeration Date | 06/04/2018 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Medicare PECOS PAC ID | 0446503130 |
|---|---|
| Medicare Enrollment ID | O20181026000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487146684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301014043 (Michigan) | Primary |
| Provider Name | Jennifer L Chapuseaux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831249895 PECOS PAC ID: 0244284826 Enrollment ID: I20050307000390 |
| Provider Name | Jackson Edwin Turner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316060114 PECOS PAC ID: 6709961626 Enrollment ID: I20080317000223 |
| Provider Name | Jennifer Edwards-mayes |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104067206 PECOS PAC ID: 3577867688 Enrollment ID: I20160210002288 |
| Provider Name | Kurtis N Lahring |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083065098 PECOS PAC ID: 1658713474 Enrollment ID: I20240524002057 |
| Provider Name | Cherrisse C Benwell-hearty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700643350 PECOS PAC ID: 8123563707 Enrollment ID: I20240709000858 |
| Provider Name | Tiffany Haywood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245929561 PECOS PAC ID: 0749725836 Enrollment ID: I20240712002750 |
| Provider Name | Anette R Richards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184958456 PECOS PAC ID: 0345788279 Enrollment ID: I20240809003136 |
| Provider Name | Anderson L Fernanders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518466366 PECOS PAC ID: 6103364476 Enrollment ID: I20240817000114 |
| Provider Name | Kathy R Cramner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679896161 PECOS PAC ID: 7719326263 Enrollment ID: I20240822000232 |
| Provider Name | Amir A Dababneh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063022655 PECOS PAC ID: 2062952104 Enrollment ID: I20240904002905 |
| Provider Name | Robin Mitchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972338333 PECOS PAC ID: 5092247791 Enrollment ID: I20241019000033 |
| Provider Name | Michelle Marshbanks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841646551 PECOS PAC ID: 9335671049 Enrollment ID: I20241019000172 |
| Provider Name | Brandy Huyck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871900357 PECOS PAC ID: 3870029408 Enrollment ID: I20241206000398 |
| Provider Name | Ann Blanzy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639805963 PECOS PAC ID: 6103355763 Enrollment ID: I20250128000427 |
| Provider Name | Daniel Morey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598377616 PECOS PAC ID: 8325560097 Enrollment ID: I20250322000022 |
| Provider Name | Tom E Lam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225624356 PECOS PAC ID: 4587187414 Enrollment ID: I20250401001158 |
Victoria Ann Wilson Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1350 S Milford Rd, Highland, MI 48357 Phone: 248-854-1422 Fax: 248-690-2410 | |
Rejuvenate Psychological Services, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 147 N Milford Rd, Highland, MI 48357 Phone: 248-937-8682 | |
Antoinette Peterson,llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 147 N Milford Rd, Suite 201a, Highland, MI 48357 Phone: 248-563-0587 | |
Midwest Recovery Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 W Highland Rd Ste 102, Highland, MI 48357 Phone: 810-215-1006 | |
Thomas B. Henry, Md Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1641 S Milford Rd Ste A101, Highland, MI 48357 Phone: 248-529-3605 | |
Insightful, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 141 N Milford Rd, Suite 103, Highland, MI 48357 Phone: 248-937-8682 Fax: 248-937-1601 |