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Organization
BLUE WATER MENTAL HEALTH CLINIC
Active
Organization
BLUE WATER MENTAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELIZABETH FABICK (EXECUTIVE DIRECTOR)
(810) 689-6565
Entity
Organization
Contact information
Practice address
7557 BROCKWAY RD, BROCKWAY, MI 48097-3410
(810) 985-5125
(810) 985-5127
Mailing address
1501 KRAFFT RD, FORT GRATIOT, MI 48059-3565
(810) 985-5125
(810) 985-5127
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/02/2007
Last updated
09/11/2026
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