| Dearborn Pastoral Counseling Center | |
|
24110 Cherry Hill Rd Dearborn MI 48124 | |
| (313) 274-4510 | |
| (313) 274-4571 |
| Full Name | Dearborn Pastoral Counseling Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 24110 Cherry Hill Rd, Dearborn, Michigan |
| Authorized Official Name and Position | Robert K Seymour (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3132744570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dearborn Pastoral Counseling Center 24110 Cherry Hill Rd Dearborn MI 48124 Ph: (313) 274-4510 | Dearborn Pastoral Counseling Center 24110 Cherry Hill Rd Dearborn MI 48124 Ph: (313) 274-4510 |
| NPI Number | 1124146451 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 02/05/2018 |
| Medicare PECOS PAC ID | 4789877978 |
|---|---|
| Medicare Enrollment ID | O20101020000754 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124146451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | William L Guy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295748101 PECOS PAC ID: 3870581861 Enrollment ID: I20040506000688 |
| Provider Name | Ruby J Bowens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932306347 PECOS PAC ID: 7911090444 Enrollment ID: I20070829000599 |
| Provider Name | Stephen J Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023042983 PECOS PAC ID: 8426241621 Enrollment ID: I20101020000892 |
| Provider Name | Claudia Cacciato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184055790 PECOS PAC ID: 1951619956 Enrollment ID: I20150924000965 |
| Provider Name | Bridget A Kujansuu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467821298 PECOS PAC ID: 0446560262 Enrollment ID: I20151106002128 |
| Provider Name | Christina Diederichs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578844494 PECOS PAC ID: 8628469939 Enrollment ID: I20211221002069 |
| Provider Name | Terri C Pilarski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013664499 PECOS PAC ID: 2264828391 Enrollment ID: I20220329002682 |
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