Blue Water Serenity Counseling Pllc
NPI #1023415072 in Fort Gratiot, Michigan
Provider Information
- NPI Number
- 1023415072
- Entity Type
- Organization
- Organization Name
- Blue Water Serenity Counseling Pllc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Nov 19, 2014
- Last Updated
- Dec 8, 2014
Practice Location
- Address
- 5429 SHOREWOOD DR
- City
- Fort Gratiot
- State
- Michigan
- ZIP Code
- 48059-3138
- Phone
- (810) 357-1725
Authorized Official
- Name
- ALEXIS JOHNSON, LMSW,CADC
- Title
- OWNER AND SOLE PROPRIETOR
- Phone
- (810) 824-4865
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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