Organization · Type 2 NPI
Blue Water Mental Health Clinic
Mental Health Clinic/Center (Including Community Mental Health Center) · Brockway, MI
NPI number
1467590406
Active
Practice location
7557 Brockway Rd
Brockway, MI 48097-3410
Fax (810) 985-5127
Mailing address
1501 Krafft Rd
Fort Gratiot, MI 48059-3565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Clinical Psychologist | 103TC0700X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
About NPI 1467590406
Blue Water Mental Health Clinic's National Provider Identifier is 1467590406, issued on Feb 2, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Brockway, MI. The record was last updated on Sep 11, 2026.