| Ad Behavioral Health Services Llc | |
|
2173 Decker Rd Apt 45 Walled Lake MI 48390-2509 | |
| (313) 350-6306 | |
| Not Available |
| Full Name | Ad Behavioral Health Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2173 Decker Rd Apt 45, Walled Lake, Michigan |
| Authorized Official Name and Position | Victoria Claybrooks (OWNER) |
| Authorized Official Contact | 3133506306 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ad Behavioral Health Services Llc 2173 Decker Rd Apt 45 Walled Lake MI 48390-2509 Ph: (313) 350-6306 | Ad Behavioral Health Services Llc 2173 Decker Rd Apt 45 Walled Lake MI 48390-2509 Ph: (313) 350-6306 |
| NPI Number | 1952145724 |
|---|---|
| Provider Enumeration Date | 06/25/2024 |
| Last Update Date | 08/23/2024 |
| Certification Date | 08/23/2024 |
| Medicare PECOS PAC ID | 5991238610 |
|---|---|
| Medicare Enrollment ID | O20241101001061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952145724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251E00000X | Home Health | (* (Not Available)) | Secondary |
| Provider Name | Michelle D Sessom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134468960 PECOS PAC ID: 2860638590 Enrollment ID: I20130424000807 |
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