| Craig Counseling Services, P.l.l.c. | |
|
630 N. Old Woodward Ave. Suite 303 Birmingham MI 48009-3862 | |
| (248) 321-1212 | |
| (248) 928-2051 |
| Full Name | Craig Counseling Services, P.l.l.c. |
|---|---|
| Speciality | Psychologist |
| Location | 630 N. Old Woodward Ave., Birmingham, Michigan |
| Authorized Official Name and Position | Ronna Smith-craig (MEMBER/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2483211212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig Counseling Services, P.l.l.c. 630 N. Old Woodward Ave Suite 303 Birmingham MI 48009-3862 Ph: (248) 321-1212 | Craig Counseling Services, P.l.l.c. 630 N. Old Woodward Ave. Suite 303 Birmingham MI 48009-3862 Ph: (248) 321-1212 |
| NPI Number | 1932578838 |
|---|---|
| Provider Enumeration Date | 09/21/2015 |
| Last Update Date | 09/21/2015 |
| Medicare PECOS PAC ID | 8022377043 |
|---|---|
| Medicare Enrollment ID | O20180122000865 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932578838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301010254 (Michigan) | Primary |
| 103TC0700X | Psychologist - Clinical | 6301016205 (Michigan) | Secondary |
| Provider Name | Ronna Sue Smith-craig |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316919780 PECOS PAC ID: 3577822592 Enrollment ID: I20180122001040 |
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