| Advanced Mental Health Pllc | |
|
2866 E Country Ln Monroe MI 48162-8938 | |
| (734) 819-8048 | |
| (734) 240-1892 |
| Full Name | Advanced Mental Health Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2866 E Country Ln, Monroe, Michigan |
| Authorized Official Name and Position | Amal Butler (OWNER) |
| Authorized Official Contact | 7348198048 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Mental Health Pllc 2866 E Country Ln Monroe MI 48162-8938 Ph: (734) 819-8048 | Advanced Mental Health Pllc 2866 E Country Ln Monroe MI 48162-8938 Ph: (734) 819-8048 |
| NPI Number | 1467883744 |
|---|---|
| Provider Enumeration Date | 12/11/2013 |
| Last Update Date | 12/12/2013 |
| Medicare PECOS PAC ID | 2769613165 |
|---|---|
| Medicare Enrollment ID | O20140328000416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467883744 | NPI | - | NPPES |
| 6801066663 | Other | MI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 6801066663 (Michigan) | Primary |
| Provider Name | Amal Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407925993 PECOS PAC ID: 2466633953 Enrollment ID: I20110216000536 |
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