Provider Demographics
NPI:1770949760
Name:BIELSKIS, LINDA (MA, MBA, CAADC, CCS)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:BIELSKIS
Suffix:
Gender:F
Credentials:MA, MBA, CAADC, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8581 BRAY RD
Mailing Address - Street 2:
Mailing Address - City:VASSAR
Mailing Address - State:MI
Mailing Address - Zip Code:48768-9647
Mailing Address - Country:US
Mailing Address - Phone:810-423-3867
Mailing Address - Fax:
Practice Address - Street 1:8581 BRAY RD
Practice Address - Street 2:
Practice Address - City:VASSAR
Practice Address - State:MI
Practice Address - Zip Code:48768-9647
Practice Address - Country:US
Practice Address - Phone:810-423-3867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-07
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIC-00222101YA0400X
MIS-20043101YA0400X
101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)