Bjc Counseling And Behavioral Services Llc | |
16175 Asbury Park Detroit MI 48235-3656 | |
(313) 673-1992 | |
Not Available |
Full Name | Bjc Counseling And Behavioral Services Llc |
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Speciality | Counselor |
Location | 16175 Asbury Park, Detroit, Michigan |
Authorized Official Name and Position | Barbara Culp (PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 3136731992 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bjc Counseling And Behavioral Services Llc 16715 Asbury Park Detroit MI 48235 Ph: (313) 673-1992 | Bjc Counseling And Behavioral Services Llc 16175 Asbury Park Detroit MI 48235-3656 Ph: (313) 673-1992 |
NPI Number | 1003287459 |
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Provider Enumeration Date | 10/12/2015 |
Last Update Date | 11/02/2016 |
Medicare PECOS PAC ID | 2668751538 |
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Medicare Enrollment ID | O20161116002515 |
Identifier | Type | State | Issuer |
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1003287459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | 3891164 (Michigan) | Primary |
Provider Name | Darlene Natalie Anderson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720324692 PECOS PAC ID: 2668865064 Enrollment ID: I20220208000323 |
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