MEDICARE: THALIA FERENC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	900032412	OTHER	MI	PRIORITY HEALTH
3	MI2873	OTHER	MI	BCBSM

General Provider Information

NPI Number	:	1538633821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THALIA FERENC LLC

Provider Business Mailing Address
First Line	:	6127 BAY SHORE WEST DR
Second Line	:
City	:	CHARLEVOIX
State	:	MI
Zip	:	49720-9173
Country	:	US
Telephone Number	:	231-838-3222
Fax Number	:

Provider Business Practice Location Address
First Line	:	6127 BAY SHORE WEST DR
Second Line	:
City	:	CHARLEVOIX
State	:	MI
Zip	:	49720-9173
Country	:	US
Telephone Number	:	231-838-2322
Fax Number	:	231-622-8126

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	MS. THALIA M FERENC
Credential	:	LMSW
Telephone Number	:	231-838-2322

Provider Enumeration Date	:	01/20/2019
Last Update Date	:	01/20/2019

Similar Medicare Providers

1831309392 — MS. THALIA MARIE FERENC L.M.S.W.
Practice Location Address:

6127 BAY SHORE WEST DR
CHARLEVOIX, MI
49720-9173

Practice Phone: 231-838-2322
Practice Fax: 231-622-8126

1518329317 — TRISHA J TOMKINS MD
Practice Location Address:

14651 W UPRIGHT ST
CHARLEVOIX, MI
49720-1266

Practice Phone: 231-547-4477
Practice Fax:

1316505969 — DR. MICHAEL DI MARTINO PSY.D.
Practice Location Address:

223 BRIDGE ST
CHARLEVOIX, MI
49720-1400

Practice Phone: 650-387-3927
Practice Fax:

1992660005 — PINE RIVER PSYCHOLOGICAL SERVICES PLLC
Practice Location Address:

223 BRIDGE ST
CHARLEVOIX, MI
49720-1400

Practice Phone: 650-387-3927
Practice Fax:

1073048542 — EMILY K STEVENS LMSW
Practice Location Address:

6250 M 66 N
CHARLEVOIX, MI
49720-9272

Practice Phone: 231-547-5885
Practice Fax:

1558373696 — ROGER MAILLEFER M.D.
Practice Location Address:

14695 PARK AVE STE A
CHARLEVOIX, MI
49720-1920

Practice Phone: 231-547-2812
Practice Fax:

Directions to “THALIA FERENC LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.