| Greater Michigan Counseling Center Pllc | |
|
14703 Allen Rd Ste 220 Southgate MI 48195-2594 | |
| (734) 444-2379 | |
| Not Available |
| Full Name | Greater Michigan Counseling Center Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 14703 Allen Rd Ste 220, Southgate, Michigan |
| Authorized Official Name and Position | Lisa S. Robinson (OWNER) |
| Authorized Official Contact | 7344442379 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Michigan Counseling Center Pllc Po Box 40265 Redford MI 48240-0265 Ph: (734) 444-2379 | Greater Michigan Counseling Center Pllc 14703 Allen Rd Ste 220 Southgate MI 48195-2594 Ph: (734) 444-2379 |
| NPI Number | 1275247207 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 01/13/2023 |
| Certification Date | 01/13/2023 |
| Medicare PECOS PAC ID | 4688046063 |
|---|---|
| Medicare Enrollment ID | O20230213000765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275247207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lisa S Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205577137 PECOS PAC ID: 5294108007 Enrollment ID: I20230227000287 |
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