Healthy Choice Community Centered Counseling | |
19300 Greenfield Rd Ste B Detroit MI 48235-2003 | |
(313) 468-2842 | |
Not Available |
Full Name | Healthy Choice Community Centered Counseling |
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Speciality | Community/Behavioral Health |
Location | 19300 Greenfield Rd Ste B, Detroit, Michigan |
Authorized Official Name and Position | Kimberly Walton (OWNER) |
Authorized Official Contact | 3134682842 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healthy Choice Community Centered Counseling 19300 Greenfield Rd Ste B Detroit MI 48235-2003 Ph: (313) 468-2842 | Healthy Choice Community Centered Counseling 19300 Greenfield Rd Ste B Detroit MI 48235-2003 Ph: (313) 468-2842 |
NPI Number | 1245897503 |
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Provider Enumeration Date | 05/22/2019 |
Last Update Date | 01/04/2024 |
Certification Date | 01/04/2024 |
Medicare PECOS PAC ID | 5496122772 |
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Medicare Enrollment ID | O20221028001417 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245897503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Provider Name | Daicia Price |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174952675 PECOS PAC ID: 3173990462 Enrollment ID: I20221028001594 |
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