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BLUE WATER HEALING CLINIC LLC
NPI 1861284267
Counselor - Professional in Jackson, MI

Active since May 21, 2025
1902 4TH ST, JACKSON, MI 49203(734) 273-9681 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blue Water Healing Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE WATER HEALING CLINIC LLC (NPI 1861284267) is a healthcare organization registered as a professional in Jackson, Michigan and active in the NPI registry since May 2025. The organization lists Amita Aponte, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861284267
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameBLUE WATER HEALING CLINIC LLC
Location Address1902 4TH STJackson, MI 49203-4040
Mailing Address2902 Little StPort Huron, MI 48060-6829
Phone(734) 273-9681
Organization SubpartNo
Authorized OfficialAmita AponteCeo · (810) 937-6259
Enumeration DateMay 21, 2025
NPPES CertifiedMay 21, 2025
✔ NPI 1861284267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
1902 4TH ST, Jackson, MI 49203
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Water Healing Clinic LLC's NPI number?

The NPI number for Blue Water Healing Clinic LLC is 1861284267. It was assigned to this organization in the NPPES registry on May 21, 2025.

Where is Blue Water Healing Clinic LLC located?

Blue Water Healing Clinic LLC is located at 1902 4th St, Jackson, MI 49203. The listed phone number is (734) 273-9681.

What is Blue Water Healing Clinic LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Blue Water Healing Clinic LLC was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.