| Couch Therapies Llc | |
|
14203 Penrod St Detroit MI 48223-3578 | |
| (734) 972-6359 | |
| (734) 808-0084 |
| Full Name | Couch Therapies Llc |
|---|---|
| Speciality | Counselor |
| Location | 14203 Penrod St, Detroit, Michigan |
| Authorized Official Name and Position | Marcie E Kansou (OWNER/ PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7349726359 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Couch Therapies Llc 14203 Penrod St Detroit MI 48223-3578 Ph: (734) 972-6359 | Couch Therapies Llc 14203 Penrod St Detroit MI 48223-3578 Ph: (734) 972-6359 |
| NPI Number | 1598284150 |
|---|---|
| Provider Enumeration Date | 09/14/2017 |
| Last Update Date | 04/02/2024 |
| Certification Date | 04/02/2024 |
| Medicare PECOS PAC ID | 9335681790 |
|---|---|
| Medicare Enrollment ID | O20240613000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598284150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Marcie Ellen Kansou |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073805818 PECOS PAC ID: 0143762518 Enrollment ID: I20240613000471 |
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