| Advanced Behavioral Therapies Llc | |
|
6650 S Occidental Rd Tecumseh MI 49286-9703 | |
| (734) 717-9447 | |
| Not Available |
| Full Name | Advanced Behavioral Therapies Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6650 S Occidental Rd, Tecumseh, Michigan |
| Authorized Official Name and Position | Deborah Culik (OWNER) |
| Authorized Official Contact | 7347179447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Behavioral Therapies Llc 6650 S Occidental Rd Tecumseh MI 49286-9703 Ph: () - | Advanced Behavioral Therapies Llc 6650 S Occidental Rd Tecumseh MI 49286-9703 Ph: (734) 717-9447 |
| NPI Number | 1215457700 |
|---|---|
| Provider Enumeration Date | 06/26/2017 |
| Last Update Date | 04/07/2022 |
| Certification Date | 04/07/2022 |
| Medicare PECOS PAC ID | 7012280084 |
|---|---|
| Medicare Enrollment ID | O20170913003140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215457700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801058528 (Michigan) | Primary |
| Provider Name | Deborah A Culik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427396605 PECOS PAC ID: 8426270661 Enrollment ID: I20141104000799 |
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