# BAYBROOKE COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558913251
- **Authorized official:** THERESE KAUFMAN LMSW (OWNER)
- **Authorized official phone:** (231) 242-3254

## Contact information

- **Practice address:** 421 ST. JOSEPHS AVE, SUTTONS BAY, MI 49682
- **Practice address phone:** (231) 242-3254
- **Practice address fax:** (231) 421-7535
- **Mailing address:** 421 ST. JOSEPHS AVE, SUTTONS BAY, MI 49682
- **Mailing address phone:** (231) 242-3254
- **Mailing address fax:** (231) 421-7535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2019
- **Last updated:** 07/12/2019