| Eastside Counseling And Consulting, Inc. | |
|
209 Merriweather Rd Grosse Pointe Farms MI 48236-3533 | |
| (313) 516-3998 | |
| Not Available |
| Full Name | Eastside Counseling And Consulting, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 209 Merriweather Rd, Grosse Pointe Farms, Michigan |
| Authorized Official Name and Position | Randall Fielder Vorhees (SOCIAL WORKER) |
| Authorized Official Contact | 3135163998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Counseling And Consulting, Inc. 209 Merriweather Rd Grosse Pointe Farms MI 48236-3533 Ph: (313) 516-3998 | Eastside Counseling And Consulting, Inc. 209 Merriweather Rd Grosse Pointe Farms MI 48236-3533 Ph: (313) 516-3998 |
| NPI Number | 1891961116 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 10/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891961116 | NPI | - | NPPES |
| 0892961 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801015769 (Michigan) | Primary |
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