Birmingham Family Therapy Clinic, Inc | |
1000 S Old Woodward Ave Ste 108 Birmingham MI 48009-6729 | |
(248) 258-9189 | |
Not Available |
Full Name | Birmingham Family Therapy Clinic, Inc |
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Speciality | Marriage & Family Therapist |
Location | 1000 S Old Woodward Ave Ste 108, Birmingham, Michigan |
Authorized Official Name and Position | Tracey Stulberg (OWNER/PRESIDENT) |
Authorized Official Contact | 2482589189 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Birmingham Family Therapy Clinic, Inc 1000 S Old Woodward Ave Ste 108 Birmingham MI 48009-6729 Ph: (248) 258-9189 | Birmingham Family Therapy Clinic, Inc 1000 S Old Woodward Ave Ste 108 Birmingham MI 48009-6729 Ph: (248) 258-9189 |
NPI Number | 1225899107 |
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Provider Enumeration Date | 01/18/2024 |
Last Update Date | 01/18/2024 |
Certification Date | 01/18/2024 |
Medicare PECOS PAC ID | 2264885789 |
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Medicare Enrollment ID | O20240131001607 |
Identifier | Type | State | Issuer |
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1225899107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Provider Name | Tracey Lynn Stulberg |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1992911580 PECOS PAC ID: 8628378288 Enrollment ID: I20240131001748 |
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