| Ann Marie Bradley Enterprises Inc | |
|
190 N Main St Plymouth MI 48170-1236 | |
| (734) 416-3341 | |
| (734) 416-3345 |
| Full Name | Ann Marie Bradley Enterprises Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 190 N Main St, Plymouth, Michigan |
| Authorized Official Name and Position | Shelley Taglione (BILLING CEO) |
| Authorized Official Contact | 7344140754 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Marie Bradley Enterprises Inc 190 N Main St Plymouth MI 48170-1236 Ph: (734) 416-3341 | Ann Marie Bradley Enterprises Inc 190 N Main St Plymouth MI 48170-1236 Ph: (734) 416-3341 |
| NPI Number | 1447510060 |
|---|---|
| Provider Enumeration Date | 05/17/2012 |
| Last Update Date | 05/17/2012 |
| Medicare PECOS PAC ID | 1759544760 |
|---|---|
| Medicare Enrollment ID | O20120531000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447510060 | NPI | - | NPPES |
| 8008911330 | Other | MI | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | AB059736 (Michigan) | Primary |
| Provider Name | Ann M Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093862617 PECOS PAC ID: 6103089115 Enrollment ID: I20120531000135 |
Steven J Ceresnie Phd Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 199 N Main St, Plymouth, MI 48170 Phone: 734-453-9290 Fax: 734-453-9293 | |
Mkaye Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 N Evergreen St, Plymouth, MI 48170 Phone: 734-277-1810 | |
Metroehs Pediatric Therapy Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170 Phone: 313-278-4601 | |
Access Behavioral Associates Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 42189 Ann Arbor Rd E, Plymouth, MI 48170 Phone: 734-453-5603 Fax: 734-453-5619 | |
Mangin Psychological Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 42233 Ann Arbor Rd E, Plymouth, MI 48170 Phone: 734-386-0452 Fax: 734-419-9023 | |
Evergreen Hope Counseling, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1176 S Main St Ste 201, Plymouth, MI 48170 Phone: 920-246-1465 | |
Unmasking The Fear Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9341 N Haggerty Rd, Plymouth, MI 48170 Phone: 313-570-0636 |