Emily Bender, MA, LPC

Individual provider Active NPI Marriage & Family Therapist · Cadillac, MI

NPI 1902559636 · NPPES record last updated Feb 2, 2022

Key facts

NPI
1902559636
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
6801109341 (MI)
Practice address
114 N Mitchell St
Cadillac, MI 49601-1833
Phone
(231) 846-4783
Fax
(231) 468-2572
NPI assigned
Feb 2, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6801109341MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Supportive Services of Northern Michigan LLC Current
since Feb 6, 2022
Accepting new patients

Locations

114 N Mitchell St
Cadillac, MI 49601
Phone (231) 846-4783

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 6801109341 MI Yes

Addresses

Primary practice location

114 N Mitchell St
Cadillac, MI 49601-1833

Mailing address

114 N Mitchell St
Cadillac, MI 49601-1833
Phone (231) 846-4783

Other identifiers

IdentifierTypeStateIssuer
6401014413OtherMISTATE LICENSE

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL CADILLAC

Other providers in Cadillac, MI

All providers in Cadillac, MI · Marriage & Family Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.