Circle Of Life Psychological Services, Pc | |
1700 W Big Beaver Rd Ste 200 Troy MI 48084-3524 | |
(248) 420-6742 | |
(248) 243-8668 |
Full Name | Circle Of Life Psychological Services, Pc |
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Speciality | Clinic/Center |
Location | 1700 W Big Beaver Rd Ste 200, Troy, Michigan |
Authorized Official Name and Position | Marianne M. Key-carniak (OWNER) |
Authorized Official Contact | 2484206742 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Circle Of Life Psychological Services, Pc 150 Lange Dr Troy MI 48098-4667 Ph: (248) 420-6742 | Circle Of Life Psychological Services, Pc 1700 W Big Beaver Rd Ste 200 Troy MI 48084-3524 Ph: (248) 420-6742 |
NPI Number | 1851865968 |
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Provider Enumeration Date | 01/11/2019 |
Last Update Date | 01/11/2019 |
Medicare PECOS PAC ID | 8527449289 |
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Medicare Enrollment ID | O20220713001584 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851865968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Marianne M Key-carniak |
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Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1023583697 PECOS PAC ID: 7315329729 Enrollment ID: I20220802001425 |
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