| Peaceful Mind Counseling Services Llc | |
|
5274 Happy Hollow Dr Manchester MI 48158-9741 | |
| (989) 370-2511 | |
| Not Available |
| Full Name | Peaceful Mind Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 5274 Happy Hollow Dr, Manchester, Michigan |
| Authorized Official Name and Position | Elyse Kathryn Danielson (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9893702511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Mind Counseling Services Llc 5274 Happy Hollow Dr Manchester MI 48158-9741 Ph: (989) 370-2511 | Peaceful Mind Counseling Services Llc 5274 Happy Hollow Dr Manchester MI 48158-9741 Ph: (989) 370-2511 |
| NPI Number | 1265922074 |
|---|---|
| Provider Enumeration Date | 05/16/2018 |
| Last Update Date | 05/16/2018 |
| Medicare PECOS PAC ID | 9739437138 |
|---|---|
| Medicare Enrollment ID | O20180801001352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265922074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 6801093070 (Michigan) | Primary |
| Provider Name | Elyse Kathryn Danielson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922496124 PECOS PAC ID: 9032435730 Enrollment ID: I20150223001456 |
| Provider Name | Nadine V Vaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831571710 PECOS PAC ID: 1254645088 Enrollment ID: I20150806011004 |
| Provider Name | Elizabeth I Howell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376907311 PECOS PAC ID: 5395035497 Enrollment ID: I20160601002624 |
| Provider Name | Catherine Barry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205294097 PECOS PAC ID: 3971841339 Enrollment ID: I20190208002103 |
| Provider Name | Jennah Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407463987 PECOS PAC ID: 6204243991 Enrollment ID: I20210324003154 |
| Provider Name | Allie Vansickle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053875013 PECOS PAC ID: 0840693651 Enrollment ID: I20210730000367 |
| Provider Name | Rebecca I Fried |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457006058 PECOS PAC ID: 9638564727 Enrollment ID: I20220329000616 |
| Provider Name | Julie L Burdick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043958945 PECOS PAC ID: 0042693046 Enrollment ID: I20220823002896 |
| Provider Name | Andrea Sieg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487099297 PECOS PAC ID: 2860875861 Enrollment ID: I20220823002909 |
| Provider Name | Meghan Newman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023668175 PECOS PAC ID: 4082097092 Enrollment ID: I20220823003126 |
| Provider Name | Alijah Jonah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124658125 PECOS PAC ID: 8729435318 Enrollment ID: I20231102003613 |
| Provider Name | Brett Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467061556 PECOS PAC ID: 6204283880 Enrollment ID: I20231104000122 |
| Provider Name | Lucy Lmsw Grippo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427621150 PECOS PAC ID: 2264889849 Enrollment ID: I20231104000286 |
| Provider Name | Kaitlin Hamann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285264366 PECOS PAC ID: 6608223185 Enrollment ID: I20231104000415 |
| Provider Name | Brittany Pearson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063124303 PECOS PAC ID: 0941657423 Enrollment ID: I20231104000551 |
| Provider Name | Ana Eberly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013630839 PECOS PAC ID: 9931556412 Enrollment ID: I20231104000588 |
| Provider Name | Schuyler Hillard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992240543 PECOS PAC ID: 0143677641 Enrollment ID: I20231106000433 |
Bridgewater Support Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8139 Ernst Rd, Manchester, MI 48158 Phone: 734-276-2765 |