| De Marillac Counseling Llc | |
|
37772 Charter Oaks Blvd Clinton Twp MI 48036-4435 | |
| (734) 674-4772 | |
| (586) 948-8758 |
| Full Name | De Marillac Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 37772 Charter Oaks Blvd, Clinton Twp, Michigan |
| Authorized Official Name and Position | Amy Leigh Perugi (PRESIDENT AND THERAPIST) |
| Authorized Official Contact | 7346744772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| De Marillac Counseling Llc 37772 Charter Oaks Blvd Clinton Twp MI 48036-4435 Ph: (734) 674-4772 | De Marillac Counseling Llc 37772 Charter Oaks Blvd Clinton Twp MI 48036-4435 Ph: (734) 674-4772 |
| NPI Number | 1396349932 |
|---|---|
| Provider Enumeration Date | 11/24/2020 |
| Last Update Date | 11/24/2020 |
| Certification Date | 11/24/2020 |
| Medicare PECOS PAC ID | 8022429091 |
|---|---|
| Medicare Enrollment ID | O20201123002468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396349932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Amy L Perugi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033260187 PECOS PAC ID: 6800069972 Enrollment ID: I20111105000085 |
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