| Northside Counseling Inc | |
|
20130 Samara Trl Lake Ann MI 49650-9685 | |
| (773) 960-8359 | |
| Not Available |
| Full Name | Northside Counseling Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 20130 Samara Trl, Lake Ann, Michigan |
| Authorized Official Name and Position | Susan Thompson (PRESIDENT) |
| Authorized Official Contact | 7739608359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Counseling Inc 20130 Samara Trl Lake Ann MI 49650-9685 Ph: (773) 960-8359 | Northside Counseling Inc 20130 Samara Trl Lake Ann MI 49650-9685 Ph: (773) 960-8359 |
| NPI Number | 1528134277 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 06/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528134277 | NPI | - | NPPES |
| 0001634445 | Other | IL | BCBSIL |
| 103637507 | Other | IL | UBH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180000932 (Illinois) | Primary |
Northern Michigan Neurology, P.l.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 18688 Bender Trl, Lake Ann, MI 49650 Phone: 231-499-1037 Fax: 231-935-0434 |