Organization
EDWARD J. MIKE, PH.D., P.C.
Active
Other names
Brighton Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J. MIKE PH.D (PRESIDENT)
(989) 466-4700
Entity
Organization
Contact information
Practice address
160 EAST WARWICK DRIVE, ALMA, MI 48801
(989) 466-4700
(231) 743-2106
Mailing address
17711 10TH AVE., MARION, MI 49665-7930
(989) 466-4700
(231) 743-2106
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301001900
MI
103TC0700X
Clinical Psychologist
Primary
6301001900
MI
106H00000X
Marriage & Family Therapist
4101000518
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024126
—
MI
01
—
1275571309
MEDICARE PERSONAL NPI ENU
MI
01
—
OP33020
GROUP #
MI
Enumeration date
06/15/2006
Last updated
07/15/2008
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