| Mill Street Psychiatric & Medical Clinic P L C | |
|
380 Mill St Ortonville MI 48462-8721 | |
| (248) 961-3088 | |
| (248) 627-7682 |
| Full Name | Mill Street Psychiatric & Medical Clinic P L C |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 380 Mill St, Ortonville, Michigan |
| Authorized Official Name and Position | Janet Delores Heasley (PROVIDER) |
| Authorized Official Contact | 2486277682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mill Street Psychiatric & Medical Clinic P L C 927 Evergreen Ridge Ortonville MI 48462-8721 Ph: (248) 961-3088 | Mill Street Psychiatric & Medical Clinic P L C 380 Mill St Ortonville MI 48462-8721 Ph: (248) 961-3088 |
| NPI Number | 1861610750 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861610750 | NPI | - | NPPES |
| 0856312505 | Other | MI | BLUE CROSS MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | JH013119 (Michigan) | Primary |
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