| |
5600 W Maple Rd Ste B212 West Bloomfield MI 48322-3787 | |
(248) 605-5049 | |
Not Available |
Full Name | |
---|---|
Speciality | Social Worker |
Location | 5600 W Maple Rd Ste B212, West Bloomfield, Michigan |
Authorized Official Name and Position | Laurel Jean Rebenstock, Lmsw, Caadc (CLINICAL DIRECTOR/OWNER) |
Authorized Official Contact | 2486055049 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
5600 W Maple Rd Ste B212 West Bloomfield MI 48322-3787 Ph: (248) 605-5049 | 5600 W Maple Rd Ste B212 West Bloomfield MI 48322-3787 Ph: (248) 605-5049 |
NPI Number | 1851049340 |
---|---|
Provider Enumeration Date | 03/14/2022 |
Last Update Date | 01/21/2024 |
Certification Date | 01/21/2024 |
Medicare PECOS PAC ID | 3375986722 |
---|---|
Medicare Enrollment ID | O20240213001914 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851049340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Laurel J Rebenstock |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033370747 PECOS PAC ID: 1456428499 Enrollment ID: I20080917000532 |
Insightful Dynamics, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5876 Vassar, West Bloomfield, MI 48322 Phone: 248-539-2116 Fax: 248-539-7203 | |
Linda Adel Friedman Lmsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4593 Laurel Club Cir, West Bloomfield, MI 48323 Phone: 586-747-6473 | |
Theodore J Ruza Do Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7001 Orchard Lake Rd, Suite 424, West Bloomfield, MI 48322 Phone: 248-626-4600 Fax: 248-626-3988 | |
Marlowe Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3823 Spanish Oaks Dr, West Bloomfield, MI 48323 Phone: 231-631-3747 | |
Bette Glickfield Phd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5600 West Maple Rd, Ste D407, West Bloomfield, MI 48322 Phone: 248-851-2262 | |
Bloomfield Counseling,p.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5600 W Maple Rd, Suite B-208, West Bloomfield, MI 48322 Phone: 248-851-7181 Fax: 248-851-1223 | |
Jarc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6718 Arlington Dr, West Bloomfield, MI 48322 Phone: 248-538-6611 |