HIDDEN BROOK COUNSELING SERVICES, PLLC (NPI# 1972073633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972073633 |
Entity Type | Organization |
Organization Name | HIDDEN BROOK COUNSELING SERVICES, PLLC |
Practice Address |
2202 Mitchell Park Dr Ste 2b Petoskey MI 49770-8897 |
Practice Telephone | 2314871885 |
Practice Fax Number | 2314871754 |
Mailing Telephone | 2314871885 |
Mailing Fax Number | 2314871754 |
Enumeration Date | 2018-11-26 |
Last Update Date | 2019-06-11 |
Authorized Official Name | MR. PRESTON GREENE (PROGRAM DIRECTOR) |
Authorized Official Telephone | 2318812538 |
Authorized Official Credential | LMSW, CAADC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
Street Address |
2202 MITCHELL PARK DR STE 2B |
City | PETOSKEY |
State | MI |
Zip Code | 49770-8897 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053923045 | Adrienne Josephine Shiels | Counselor | 2202 Mitchell Park Dr Ste 2b, Petoskey, MI 49770-8897 | 2020-08-20 |
1801408893 | Still Space Counseling LLC | Counselor | 2202 Mitchell Park Dr Ste 2b, Petoskey, MI 49770-8897 | 2020-08-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
Find all providers in zip 49770 |
Taxonomy Code | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Notes: [7/1/2003: new] |
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1477151751 | Fully Alive Therapeutic Services, LLC | Clinic/Center | 32910 W 13 Mile Rd Ste D-402, Farmington Hills, MI 48334-1980 | 2020-10-09 |
1720614530 | Oakland Integrated Healthcare Network | Clinic/Center | 125 W Montcalm St Rm 101, Pontiac, MI 48342-1141 | 2020-03-13 |
1588203491 | Heron Ridge Associates Plc | Clinic/Center | 3300 Washtenaw Ave Ste 265, Ann Arbor, MI 48104-4200 | 2019-12-26 |
1972141406 | Reliance Counseling, LLC. | Clinic/Center | 11126 Wayne Rd # 2, Romulus, MI 48174-1473 | 2019-12-16 |
1629639190 | Pathway Psychological Services Pllc | Clinic/Center | 22750 Woodward Ave Ste 211, Ferndale, MI 48220-1753 | 2019-06-25 |
1790344281 | Yearego Professional Counseling | Clinic/Center | 81 Indianwood Rd Ste 2, Lake Orion, MI 48362-1595 | 2019-06-10 |
1992268627 | Kalamazoo Empowerment Services, Plc | Clinic/Center | 350 E Michigan Ave Ste 421, Kalamazoo, MI 49007-3855 | 2019-04-10 |
1922571041 | Repairer of The Breach Counseling and Consultant Services, LLC | Clinic/Center | 319 Chandler St, Detroit, MI 48202-2857 | 2019-01-11 |
1093285652 | The Caerus Group LLC | Clinic/Center | 732 S. 11th St #197, Niles, MI 49120 | 2018-11-27 |
1184108789 | Laugh and Learn Therapy LLC | Clinic/Center | 5400 Gateway Ctr Ste E, Flint, MI 48507-3939 | 2018-09-19 |
Find all providers with the same taxonomy |
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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.