Blue Water Mental Health Clinic
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Fort Gratiot, MI
NPI 1174924864 · NPPES record last updated Sep 12, 2014
Key facts
- NPI
- 1174924864
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- BLUE WATER MENTAL HEALTH CLINIC
- Practice address
- 1501 Krafft Rd
Fort Gratiot, MI 48059-3565 - Phone
- (810) 985-5125
- Fax
- (810) 985-5127
- NPI assigned
- Sep 12, 2014
- Organization subpart
- No
Authorized official
- Name
- Linda A Liethen
- Title
- Executive Director
- Phone
- (810) 985-5125
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | |||
| Clinical Social Worker |
1041C0700X | |||
| Psychiatry Physician |
2084P0800X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
1501 Krafft Rd
Fort Gratiot, MI 48059-3565
Mailing address
1501 Krafft Rd
Fort Gratiot, MI 48059-3565
Phone (810) 985-5125
Other names
- Blue Water Counseling
Other providers in Fort Gratiot, MI
- Birchwood Chiropractic Center, PLLC
- Stacy Biscorner
- Shari Blackburn
- Blue Water Children'S Health Care
- Blue Water Family Dentistry PC
- Blue Water Mental Health Clinic
- Blue Water Nursing Center
- Blue Water Primary Care
- Blue Water Serenity Counseling PLLC
- Blue Water Sleep Inc
All providers in Fort Gratiot, MI · Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.