| Center For Individual And Family Counseling Inc | |
|
30555 Southfield Rd Ste 340 Southfield MI 48076-1221 | |
| (248) 443-8494 | |
| (248) 443-8496 |
| Full Name | Center For Individual And Family Counseling Inc |
|---|---|
| Speciality | Social Worker |
| Location | 30555 Southfield Rd, Southfield, Michigan |
| Authorized Official Name and Position | Pauline J Furman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2483448494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Individual And Family Counseling Inc 30555 Southfield Rd Ste 340 Southfield MI 48076-1221 Ph: (248) 443-8494 | Center For Individual And Family Counseling Inc 30555 Southfield Rd Ste 340 Southfield MI 48076-1221 Ph: (248) 443-8494 |
| NPI Number | 1568890044 |
|---|---|
| Provider Enumeration Date | 10/22/2013 |
| Last Update Date | 07/21/2014 |
| Medicare PECOS PAC ID | 2062739030 |
|---|---|
| Medicare Enrollment ID | O20150401000617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568890044 | NPI | - | NPPES |
| 0961297 | Other | MI | BCBS PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Pauline Furman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376769430 PECOS PAC ID: 3971820945 Enrollment ID: I20150401001340 |
| Provider Name | Tangenilla Fry-riggins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033548458 PECOS PAC ID: 7214248624 Enrollment ID: I20150625001028 |
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