| Counseling Beyond Borders Llc | |
|
4221 Moran St Detroit MI 48207-1705 | |
| (313) 908-8111 | |
| Not Available |
| Full Name | Counseling Beyond Borders Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4221 Moran St, Detroit, Michigan |
| Authorized Official Name and Position | Tanya Ro Shun Bankston (OWNER) |
| Authorized Official Contact | 3139088111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Beyond Borders Llc 22430 Gratiot Ave Unit 620 Eastpointe MI 48021-7022 Ph: () - | Counseling Beyond Borders Llc 4221 Moran St Detroit MI 48207-1705 Ph: (313) 908-8111 |
| NPI Number | 1952923856 |
|---|---|
| Provider Enumeration Date | 05/13/2020 |
| Last Update Date | 05/13/2020 |
| Certification Date | 05/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952923856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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