| Salvatore Russo, LPC | |
|
11270 E 13 Mile Rd, Warren, MI 48093-2599 | |
| (586) 738-9320 | |
| (586) 751-3201 |
| Full Name | Salvatore Russo |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 11270 E 13 Mile Rd, Warren, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518318153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 6401015475 (Michigan) | Secondary |
| 101YP2500X | Counselor - Professional | 6401015475 (Michigan) | Primary |
| Entity Name | Ascension Brighton Center For Recovery |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265527337 PECOS PAC ID: 2668466996 Enrollment ID: O20040412000189 |
| Mailing Address | Practice Location Address |
|---|---|
| Salvatore Russo, LPC 11270 E 13 Mile Rd, Warren, MI 48093-2599 Ph: (586) 738-9320 | Salvatore Russo, LPC 11270 E 13 Mile Rd, Warren, MI 48093-2599 Ph: (586) 738-9320 |
Dr. Jeff Lip, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14018 Edison Dr, Warren, MI 48088 Phone: 586-945-0825 | |
Dayna Kanouna, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8150 E 13 Mile Rd, Warren, MI 48093 Phone: 586-825-9700 | |
Mr. John David Vinson, M.A. L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8150 E. Old 13 Mile Road, Suite 100, Warren, MI 48093 Phone: 586-558-7472 Fax: 586-558-5802 | |
Melissa Savage, MA, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12220 E 13 Mile Rd, Suite 300, Warren, MI 48093 Phone: 586-258-0206 Fax: 586-258-0201 | |
Mrs. Monica Beatrice Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 30101 Hoover Rd, Warren, MI 48093 Phone: 586-558-6868 | |
Michael Andrew Perkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21760 Logue Ave, Warren, MI 48091 Phone: 734-255-0450 | |
Mr. William Scott Cole, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 23700 Van Dyke Ave, Warren, MI 48089 Phone: 586-758-6670 Fax: 586-758-0243 |