Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Water Healing Clinic LLC

Organization Professional Counselor · NPI 1861284267

Blue Water Healing Clinic LLC is a Professional Counselor in Jackson, Michigan. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1902 4th St
Jackson, MI 49203-4040
Phone: (734) 273-9681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1861284267
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amita Aponte — Ceo · (810) 937-6259
NPI enumeratedMay 21, 2025
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025
Mailing address2902 Little St, Port Huron, MI 48060-6829

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