| Eisenberg Mental Health And Counseling Services Llc | |
|
1997 Severn Rd Grosse Pointe Woods MI 48236-1960 | |
| (734) 846-7443 | |
| Not Available |
| Full Name | Eisenberg Mental Health And Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1997 Severn Rd, Grosse Pointe Woods, Michigan |
| Authorized Official Name and Position | Sarah Kathryn Eisenberg (MEMBER) |
| Authorized Official Contact | 7348467443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eisenberg Mental Health And Counseling Services Llc 1997 Severn Rd Grosse Pointe Woods MI 48236-1960 Ph: (734) 846-7443 | Eisenberg Mental Health And Counseling Services Llc 1997 Severn Rd Grosse Pointe Woods MI 48236-1960 Ph: (734) 846-7443 |
| NPI Number | 1710679618 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/21/2023 |
| Medicare PECOS PAC ID | 0042679383 |
|---|---|
| Medicare Enrollment ID | O20230705003366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710679618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sarah Kathryn Eisenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255754735 PECOS PAC ID: 7911130232 Enrollment ID: I20140512000627 |
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