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BLUE WATER CENTER FOR CHRISTIAN COUNSELING P.C. NPI 1558494633


NPI Information

NPI: 1558494633
Provider Name: BLUE WATER CENTER FOR CHRISTIAN COUNSELING P.C.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
824 HURON AVE
PORT HURON, MI
ZIP 48060
Phone: (810) 985-7380
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BLUE WATER CENTER FOR CHRISTIAN COUNSELING P.C. is a mental health counselor in Port Huron, MI. BLUE WATER CENTER FOR CHRISTIAN COUNSELING P.C. NPI is 1558494633. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

824 HURON AVE
PORT HURON, MI
ZIP 48060-705
Phone: (810) 985-7380
Fax: (810) 985-3074

The provider's authorized official is Daniel Charles Lundblad .
The authorized official title is Executive Director and has the following contact phone number (810) 985-7380.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 8/22/2020.


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
1101YM0800XCounselorMental Health6801016861MICHIGANYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.