Organization
EVERBLOOM COUNSELING & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY VINCENT LMSW (CLINICAL SOCIAL WORKER)
(517) 262-7189
Entity
Organization
Contact information
Practice address
209 E WASHINGTON AVE, JACKSON, MI 49201-2393
(517) 262-7189
Mailing address
8288 N SHORE DR, CLARKLAKE, MI 49234-9792
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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