Stacey Lynn Porreca, | |
1547 S Wayne Rd, Westland, MI 48186-5436 | |
(734) 405-0176 | |
Not Available |
Full Name | Stacey Lynn Porreca |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 30 Years |
Location | 1547 S Wayne Rd, Westland, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396905386 | NPI | - | NPPES |
383501869 | Other | MI | APEX BEHAVIORAL HEALTH TAX ID |
6801068161 | Other | MI | APEX BEHAVIORAL HEALTH TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 6801068161 (Michigan) | Primary |
101YM0800X | Counselor - Mental Health | 6801068161 (Michigan) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Apex Behavioral Health Western Wayne | 4183885593 | 8 |
Entity Name | Apex Behavioral Health Western Wayne |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962779710 PECOS PAC ID: 4183885593 Enrollment ID: O20120411000775 |
Mailing Address | Practice Location Address |
---|---|
Stacey Lynn Porreca, 1547 S Wayne Rd, Westland, MI 48181 Ph: (734) 405-0176 | Stacey Lynn Porreca, 1547 S Wayne Rd, Westland, MI 48186-5436 Ph: (734) 405-0176 |
Mrs. Amanda Nikolee Dennis-shareef, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7541 August Ave, Westland, MI 48185 Phone: 313-727-2200 | |
Latanya Marie-elvira Emerson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8623 N Wayne Rd, Westland, MI 48185 Phone: 734-742-0191 | |
Chandra Diana Novak, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8623 N Wayne Rd, Westland, MI 48185 Phone: 734-427-1144 Fax: 734-742-0608 | |
Miss Lativia Smith, LMSW-C Counselor Medicare: Medicare Enrolled Practice Location: 34290 Ford Rd, Westland, MI 48185 Phone: 313-717-1830 | |
Bruce M Johnson, Counselor Medicare: Medicare Enrolled Practice Location: 32715 Dorsey St, Westland, MI 48186 Phone: 734-641-1141 | |
Desaray Jean Maier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 32715 Dorsey St, Westland, MI 48186 Phone: 734-641-1141 | |
Karen Moore, MS CLINICAL PSYCHOLO Counselor Medicare: Not Enrolled in Medicare Practice Location: 7699 W Woodbridge Cir, #201, Westland, MI 48185 Phone: 734-778-7954 |