| Hull Behavioral Health Llc | |
|
16824 Kercheval Ave Ste 215 Grosse Pointe Park MI 48230-1563 | |
| (313) 215-0385 | |
| Not Available |
| Full Name | Hull Behavioral Health Llc |
|---|---|
| Speciality | Psychologist |
| Location | 16824 Kercheval Ave Ste 215, Grosse Pointe Park, Michigan |
| Authorized Official Name and Position | Harry Baron Hull (OWNER / PSYCHOTHERAPIST) |
| Authorized Official Contact | 3132150385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hull Behavioral Health Llc 1012 Somerset Ave Grosse Pointe Park MI 48230-1334 Ph: (313) 215-0385 | Hull Behavioral Health Llc 16824 Kercheval Ave Ste 215 Grosse Pointe Park MI 48230-1563 Ph: (313) 215-0385 |
| NPI Number | 1346881638 |
|---|---|
| Provider Enumeration Date | 10/08/2019 |
| Last Update Date | 04/26/2021 |
| Certification Date | 04/26/2021 |
| Medicare PECOS PAC ID | 0648688895 |
|---|---|
| Medicare Enrollment ID | O20210428000649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346881638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Marla L Hull |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902133812 PECOS PAC ID: 7618203209 Enrollment ID: I20190718003321 |
| Provider Name | Harry B Hull |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407111727 PECOS PAC ID: 1557779709 Enrollment ID: I20210428001364 |
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