THIRD COAST CENTER FOR EMOTIONAL WELLNESS PLLC (NPI# 1366931453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366931453 |
| Entity Type | Organization |
| Organization Name | THIRD COAST CENTER FOR EMOTIONAL WELLNESS PLLC |
| Other Organization Name | THIRD COAST COUNSELING |
| Practice Address |
733 E 8th St Ste 204 Traverse City MI 49686-2665 |
| Mailing Address |
1601 E 8th St Traverse City MI 49686-2923 |
| Practice Telephone | 2317533134 |
| Mailing Telephone | 2316320814 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |
| Authorized Official Name | JAKOB ROSSI (OWNER) |
| Authorized Official Telephone | 2316320814 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
6401015285 | MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Third Coast Counseling | Doing Business As Name - Organization |
| Street Address |
733 E 8TH ST STE 204 |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686-2665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467809723 | Jakob Rossi | Counselor | 733 E 8th St Ste 204, Traverse City, MI 49686-2665 | 2016-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1568011542 | Joanne Kressley | Technician | 1693 Maylane Apt. 104, Traverse City, MI 49686 | 2019-09-11 |
| 1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1467981811 | Joan Joyce Shirilla | Social Worker | 2124 Twin Eagles Dr, Traverse City, MI 49686 | 2017-06-08 |
| 1770028763 | Rehab and Mobility Systems, LLC | Durable Medical Equipment & Medical Supplies | 707 Parsons, Traverse City, MI 49686 | 2016-12-29 |
| 1629511316 | Kaitlyn Grangood | Social Worker | 415 Munson Avenue, Ste 101, Traverse City, MI 49686 | 2016-11-29 |
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
| Find all providers in zip 49686 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275189490 | Life's Work Clinic, Pllc | Clinic/Center | 733 E 8th St Ste 107, Traverse City, MI 49686-2665 | 2019-08-13 |
| 1215455506 | Andrea Cassell Lmsw LLC | Clinic/Center | 13561 S West Bay Shore Dr Ste 309, Traverse City, MI 49684-6299 | 2017-09-06 |
| 1104201326 | Advanced Christian Counseling Center, LLC | Clinic/Center | 3491 Hartman Rd, #c, Traverse City, MI 49685-6999 | 2015-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1356941280 | Peaceful Pride Counseling LLC | Clinic/Center | 3916 Nottingham Ter, Midland, MI 48642-6217 | 2020-10-29 |
| 1205442142 | Comprehensive Health and Home Care Services LLC | Clinic/Center | 2505 Burton St Se Ste 102a, Grand Rapids, MI 49546-4804 | 2020-09-16 |
| 1356961064 | Turning Point Day Program Center | Clinic/Center | 19720 Dorset St, Southfield, MI 48075-3925 | 2020-04-22 |
| 1316585367 | Valarie James, LLC | Clinic/Center | 1290 36th St Sw, Wyoming, MI 49509-3468 | 2019-12-19 |
| 1306484175 | Joy Counseling Services Pllc | Clinic/Center | 1000 W Maple Rd Ste 108, Troy, MI 48084-5306 | 2019-12-12 |
| 1922646751 | Tranquility Christian Counseling Inc | Clinic/Center | 24100 Southfield Rd Ste 320f, Southfield, MI 48075-2819 | 2019-12-11 |
| 1982241964 | Marquette Counseling Service | Clinic/Center | Lori Johnson, 112 W Washington Street Ste A, Marquette, MI 49855-3844 | 2019-12-09 |
| 1033769534 | Honor First | Clinic/Center | 25801 Harper Ave, Saint Clair Shores, MI 48081-2233 | 2019-09-17 |
| 1871140681 | Modern Family Counseling Center | Clinic/Center | 4195 Barcroft Way, West Bloomfield, MI 48323-1803 | 2019-08-26 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
Please comment or provide details below to improve the information on THIRD COAST CENTER FOR EMOTIONAL WELLNESS PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.