Altamira Counseling Pllc | |
340 N Main St Ste 201 Plymouth MI 48170-1290 | |
(248) 219-9544 | |
Not Available |
Full Name | Altamira Counseling Pllc |
---|---|
Speciality | Social Worker |
Location | 340 N Main St Ste 201, Plymouth, Michigan |
Authorized Official Name and Position | Salpi Tachian (OWNER) |
Authorized Official Contact | 2482199544 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Altamira Counseling Pllc 200 S Wing St Unit 5269 Northville MI 48167-1843 Ph: (248) 219-9544 | Altamira Counseling Pllc 340 N Main St Ste 201 Plymouth MI 48170-1290 Ph: (248) 219-9544 |
NPI Number | 1891365680 |
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Provider Enumeration Date | 06/25/2021 |
Last Update Date | 06/25/2021 |
Certification Date | 06/25/2021 |
Medicare PECOS PAC ID | 6002211240 |
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Medicare Enrollment ID | O20210825003264 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891365680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Salpi Tachian |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194009241 PECOS PAC ID: 3274841127 Enrollment ID: I20150928000177 |
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