Alkebulans Counseling & Group Services Llc | |
29777 Telegraph Rd Ste 4200 Southfield MI 48034-1303 | |
(313) 312-9878 | |
Not Available |
Full Name | Alkebulans Counseling & Group Services Llc |
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Speciality | Counselor |
Location | 29777 Telegraph Rd Ste 4200, Southfield, Michigan |
Authorized Official Name and Position | Darnella Hankins (CEO) |
Authorized Official Contact | 3133129878 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alkebulans Counseling & Group Services Llc 24400 Civic Center Dr Apt B1-815 Southfield MI 48033-2564 Ph: (313) 312-9878 | Alkebulans Counseling & Group Services Llc 29777 Telegraph Rd Ste 4200 Southfield MI 48034-1303 Ph: (313) 312-9878 |
NPI Number | 1649932906 |
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Provider Enumeration Date | 10/13/2021 |
Last Update Date | 04/11/2024 |
Certification Date | 04/11/2024 |
Medicare PECOS PAC ID | 0547609489 |
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Medicare Enrollment ID | O20240411003692 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649932906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Darnella Hankins |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1760039986 PECOS PAC ID: 6507205580 Enrollment ID: I20240424000498 |
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