Heron Ridge Associates Plc | |
705 S Main St Suite 280 Plymouth MI 48170-2089 | |
(734) 454-3560 | |
(734) 454-3570 |
Full Name | Heron Ridge Associates Plc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 705 S Main St, Plymouth, 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 3694 Clarkston Rd Suite D Clarkston MI 48348-5213 Ph: (248) 693-8880 | Heron Ridge Associates Plc 705 S Main St Suite 280 Plymouth MI 48170-2089 Ph: (734) 454-3560 |
NPI Number | 1295905727 |
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Provider Enumeration Date | 03/12/2008 |
Last Update Date | 12/30/2022 |
Certification Date | 12/30/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295905727 | NPI | - | NPPES |
463240 | Other | MI | VALUE OPTIONS |
750910408 | Other | MI | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 822246 (Michigan) | Primary |
Steven J Ceresnie Phd Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 199 N Main St, Plymouth, MI 48170 Phone: 734-453-9290 Fax: 734-453-9293 | |
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Access Behavioral Associates Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 42189 Ann Arbor Rd E, Plymouth, MI 48170 Phone: 734-453-5603 Fax: 734-453-5619 | |
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