| Heron Ridge Associates Plc | |
|
31000 Telegraph Rd Ste 120 Bingham Farms MI 48025-4321 | |
| (248) 594-4991 | |
| Not Available |
| Full Name | Heron Ridge Associates Plc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 31000 Telegraph Rd Ste 120, Bingham Farms, Michigan |
| Authorized Official Name and Position | Elliott Richelson (PRESIDENT, SECRETARY, TREASURER) |
| Authorized Official Contact | 9046054986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heron Ridge Associates Plc 2550 S Telegraph Rd Ste 250 Bloomfield Hills MI 48302-0909 Ph: (248) 322-0003 | Heron Ridge Associates Plc 31000 Telegraph Rd Ste 120 Bingham Farms MI 48025-4321 Ph: (248) 594-4991 |
| NPI Number | 1447357140 |
|---|---|
| Provider Enumeration Date | 09/17/2006 |
| Last Update Date | 12/30/2022 |
| Certification Date | 12/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447357140 | NPI | - | NPPES |
| 463240 | Other | MI | VALUE OPTIONS |
| 10605 | Other | MI | BLUE CROSS BLUE SHIELD MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801021651 (Michigan) | Primary |
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