| Connally Counseling | |
|
3300 Washtenaw Ave Ste 260 Ann Arbor MI 48104-5184 | |
| (734) 277-7565 | |
| (734) 215-2363 |
| Full Name | Connally Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 3300 Washtenaw Ave Ste 260, Ann Arbor, Michigan |
| Authorized Official Name and Position | Dalton Killian Connally (OWNER) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connally Counseling 3300 Washtenaw Ave Ste 260 Ann Arbor MI 48104-5184 Ph: (734) 277-7565 | Connally Counseling 3300 Washtenaw Ave Ste 260 Ann Arbor MI 48104-5184 Ph: (734) 277-7565 |
| NPI Number | 1598193310 |
|---|---|
| Provider Enumeration Date | 10/15/2013 |
| Last Update Date | 08/05/2021 |
| Certification Date | 08/05/2021 |
| Medicare PECOS PAC ID | 1557596020 |
|---|---|
| Medicare Enrollment ID | O20131109000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598193310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801095252 (Michigan) | Primary |
| Provider Name | Dalton K Connally |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669815288 PECOS PAC ID: 9638304108 Enrollment ID: I20131109000186 |
Mary K Anderson Phd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 N 1st St, Ste 1, Ann Arbor, MI 48104 Phone: 734-327-5934 | |
Jennifer Ratliff-moss Lmsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5340 Plymouth Rd, Suite 208, Ann Arbor, MI 48105 Phone: 734-905-6649 Fax: 734-369-3369 | |
Mcevilly Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 E Liberty St # St360, Ann Arbor, MI 48104 Phone: 248-736-7251 | |
Andrea Dewey Lmsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 E Liberty St Ste 330, Ann Arbor, MI 48104 Phone: 734-255-2990 | |
Enlightened Serenity Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2075 W Stadium Blvd # 3459, Ann Arbor, MI 48103 Phone: 734-352-7398 | |
Lauren V. Kachorek, Ph.d., Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1915 Suffolk St, Ann Arbor, MI 48103 Phone: 248-867-4550 | |
Rachel Sienko Lp Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2311 E Stadium Blvd Ste 212-3, Ann Arbor, MI 48104 Phone: 810-279-0149 |