Comprehensive Counseling Center Pc | |
11885 E 12 Mile Rd Ste. 201a Warren MI 48093-3474 | |
(586) 558-6000 | |
(586) 558-6679 |
Full Name | Comprehensive Counseling Center Pc |
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Speciality | Clinic/Center |
Location | 11885 E 12 Mile Rd, Warren, Michigan |
Authorized Official Name and Position | Sudhir V Lingnurkar Md (PRESIDENT/OWNER) |
Authorized Official Contact | 5865586000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Comprehensive Counseling Center Pc 11885 E 12 Mile Rd Ste. 201a Warren MI 48093-3474 Ph: (586) 558-6000 | Comprehensive Counseling Center Pc 11885 E 12 Mile Rd Ste. 201a Warren MI 48093-3474 Ph: (586) 558-6000 |
NPI Number | 1093711459 |
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Provider Enumeration Date | 06/21/2005 |
Last Update Date | 01/05/2012 |
Medicare PECOS PAC ID | 3971659046 |
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Medicare Enrollment ID | O20090915000772 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093711459 | NPI | - | NPPES |
750910346 | Other | MI | BLUE CROSS/BLUE SHIELD ID |
338940 | Other | MI | BLUE CARE NETWORK ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 0000000000 (Michigan) | Primary |
Provider Name | Chalakudy V Ramakrishna |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1295790442 PECOS PAC ID: 1052376274 Enrollment ID: I20041130000137 |
Provider Name | Santosh K Rastogi |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1043327117 PECOS PAC ID: 2860570165 Enrollment ID: I20080428000484 |
Provider Name | Sudhir Lingnurkar |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1316905102 PECOS PAC ID: 8325194491 Enrollment ID: I20100730000691 |
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