| Changing Perceptions Therapy | |
|
18557 Canal Rd Suite 3 Clinton Twp MI 48038-5821 | |
| (586) 226-8440 | |
| (586) 226-8470 |
| Full Name | Changing Perceptions Therapy |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 18557 Canal Rd, Clinton Twp, Michigan |
| Authorized Official Name and Position | Deborah Lynn Conrad-garrisi (PSYCHOLOGIST) |
| Authorized Official Contact | 5862268440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Perceptions Therapy 18557 Canal Rd Suite 3 Clinton Twp MI 48038-5821 Ph: (586) 226-8440 | Changing Perceptions Therapy 18557 Canal Rd Suite 3 Clinton Twp MI 48038-5821 Ph: (586) 226-8440 |
| NPI Number | 1912273095 |
|---|---|
| Provider Enumeration Date | 03/22/2012 |
| Last Update Date | 07/25/2012 |
| Medicare PECOS PAC ID | 7315103009 |
|---|---|
| Medicare Enrollment ID | O20120725000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912273095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6301014870 (Michigan) | Primary |
| Provider Name | Michael Garrisi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548306624 PECOS PAC ID: 6800797077 Enrollment ID: I20040309000229 |
| Provider Name | Deborah L Conrad Garrisi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982884367 PECOS PAC ID: 0840443834 Enrollment ID: I20121222000006 |
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