| Detroit Counseling And Wellness Solutions | |
|
17250 W 12 Mile Rd Ste 213 Southfield MI 48076-2123 | |
| (313) 985-0243 | |
| (313) 985-1053 |
| Full Name | Detroit Counseling And Wellness Solutions |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 17250 W 12 Mile Rd Ste 213, Southfield, Michigan |
| Authorized Official Name and Position | Elaina Brown-mingo (OWNER/CLINICIAN) |
| Authorized Official Contact | 3139850243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Detroit Counseling And Wellness Solutions Po Box 21063 Detroit MI 48221-0063 Ph: (313) 985-0243 | Detroit Counseling And Wellness Solutions 17250 W 12 Mile Rd Ste 213 Southfield MI 48076-2123 Ph: (313) 985-0243 |
| NPI Number | 1659901783 |
|---|---|
| Provider Enumeration Date | 01/16/2020 |
| Last Update Date | 01/16/2020 |
| Certification Date | 01/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659901783 | NPI | - | NPPES |
| 1508322322 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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