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THIRD COAST CENTER FOR EMOTIONAL WELLNESS PLLC NPI 1366931453


NPI Information

NPI: 1366931453
Provider Name: THIRD COAST CENTER FOR EMOTIONAL WELLNESS PLLC

Doing Business As: THIRD COAST COUNSELING

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
733 E 8TH ST STE 204
TRAVERSE CITY, MI
ZIP 49686
Phone: (231) 753-3134
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THIRD COAST CENTER FOR EMOTIONAL WELLNESS PLLC is an adult mental health clinic center in Traverse City, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. THIRD COAST CENTER FOR EMOTIONAL WELLNESS PLLC NPI is 1366931453. The provider is registered as an organization entity type.
The provider Is Doing Business As Third Coast Counseling.

The provider's business location address is:

733 E 8TH ST STE 204
TRAVERSE CITY, MI
ZIP 49686-665
Phone: (231) 753-3134

The provider's authorized official is Jakob Rossi .
The authorized official title is Owner and has the following contact phone number (231) 632-0814.

The enumeration date for this NPI number is 5/4/2018 and was last updated on 5/4/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental Health6401015285MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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