| Glory Counseling Services | |
|
18600 Florence St Ste T7 Roseville MI 48066 | |
| (586) 552-4811 | |
| (586) 552-4822 |
| Full Name | Glory Counseling Services |
|---|---|
| Speciality | Social Worker |
| Location | 18600 Florence St Ste T7, Roseville, Michigan |
| Authorized Official Name and Position | Angela Renee Maritim-brooks (CLINICAL THERAPIST/CEO) |
| Authorized Official Contact | 5865524811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glory Counseling Services 18600 Florence St Ste T7 Roseville MI 48066-4862 Ph: (586) 552-4811 | Glory Counseling Services 18600 Florence St Ste T7 Roseville MI 48066 Ph: (586) 552-4811 |
| NPI Number | 1780637165 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 08/14/2018 |
| Medicare PECOS PAC ID | 4688762669 |
|---|---|
| Medicare Enrollment ID | O20071109000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780637165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801072407 (Michigan) | Primary |
| Provider Name | Angela Renee Maritim-brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467486001 PECOS PAC ID: 7214951466 Enrollment ID: I20060124000787 |
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