Organization
DEEPWATER COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER BLOUGH LPC (OWNER)
(734) 776-8251
Entity
Organization
Contact information
Practice address
3150 PACKARD RD, YPSILANTI, MI 48197-1994
(734) 203-0183
Mailing address
10672 NORTHWOOD HWY, ONEKAMA, MI 49675-9612
(734) 776-8251
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014637
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528456019
PERSONAL NPI
MI
Enumeration date
03/22/2017
Last updated
01/14/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up