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34474 23 Mile Rd Chesterfield MI 48047-2003 | |
| (586) 996-2273 | |
| (586) 725-6477 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 34474 23 Mile Rd, Chesterfield, Michigan |
| Authorized Official Name and Position | Gail Suzanne Sebree (DIRECTOR / COUNSELOR) |
| Authorized Official Contact | 5869962273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
34474 23 Mile Rd Chesterfield MI 48047-2003 Ph: (586) 996-2273 | 34474 23 Mile Rd Chesterfield MI 48047-2003 Ph: (586) 996-2273 |
| NPI Number | 1417328477 |
|---|---|
| Provider Enumeration Date | 10/15/2015 |
| Last Update Date | 10/15/2015 |
| Medicare PECOS PAC ID | 6507143161 |
|---|---|
| Medicare Enrollment ID | O20170509000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417328477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401011835 (Michigan) | Primary |
| Provider Name | Cherelle Putz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619393600 PECOS PAC ID: 1254864465 Enrollment ID: I20241026000280 |
| Provider Name | Melanie Lett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457738940 PECOS PAC ID: 2163955378 Enrollment ID: I20241026000285 |
| Provider Name | Jenelle Kelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770092819 PECOS PAC ID: 0244763456 Enrollment ID: I20241026000313 |
| Provider Name | Diane Lmsw Spezia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629432166 PECOS PAC ID: 0244765717 Enrollment ID: I20241120001992 |
| Provider Name | Gail S Sebree |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154685311 PECOS PAC ID: 5991073942 Enrollment ID: I20241120003027 |
Macomb County Cmh Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 46360 Gratiot Ave, Chesterfield, MI 48051 Phone: 586-948-0226 Fax: 586-948-0213 | |
Macomb County Community Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 46360 Gratiot Ave, Chesterfield, MI 48051 Phone: 586-948-0224 Fax: 586-948-0213 | |
Pathways To Potential Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 53869 Connor Dr, Chesterfield, MI 48051 Phone: 586-209-3683 | |
Lisa Elia, Lpc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 51215 Nicolette Dr, Chesterfield, MI 48047 Phone: 814-392-2248 | |
Dockside Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 46800 Jans Dr, Chesterfield, MI 48047 Phone: 586-917-6612 Fax: 313-509-3967 | |
Wisdom Within Therapy And Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30591 Sabrina Ct, Chesterfield, MI 48051 Phone: 517-258-0440 |