| Genuine Solutions Counseling Center | |
|
4512 Dixie Hwy Waterford MI 48329-3514 | |
| (248) 909-1869 | |
| (248) 599-7392 |
| Full Name | Genuine Solutions Counseling Center |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 4512 Dixie Hwy, Waterford, Michigan |
| Authorized Official Name and Position | Scott A Hall (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2489091869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genuine Solutions Counseling Center 4512 Dixie Hwy Waterford MI 48329-3514 Ph: (248) 909-1869 | Genuine Solutions Counseling Center 4512 Dixie Hwy Waterford MI 48329-3514 Ph: (248) 909-1869 |
| NPI Number | 1588979876 |
|---|---|
| Provider Enumeration Date | 08/11/2010 |
| Last Update Date | 12/15/2022 |
| Certification Date | 12/15/2022 |
| Medicare PECOS PAC ID | 3678950862 |
|---|---|
| Medicare Enrollment ID | O20220509001474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588979876 | NPI | - | NPPES |
| Provider Name | Michael H Gotlib |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588600886 PECOS PAC ID: 0345222519 Enrollment ID: I20040602000597 |
| Provider Name | Raymond Small |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841413598 PECOS PAC ID: 5890038384 Enrollment ID: I20190524001880 |
| Provider Name | Angelo Gilmore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881348589 PECOS PAC ID: 9436536638 Enrollment ID: I20220509001675 |
| Provider Name | David Justin Hartman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942839295 PECOS PAC ID: 4981072931 Enrollment ID: I20221122001943 |
| Provider Name | Theresa A Carrier-torrealba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144823535 PECOS PAC ID: 6507238235 Enrollment ID: I20230207000990 |
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