| Infinity Counseling And Therapeutic Services Llc | |
|
26150 5 Mile Rd Ste 33 Redford MI 48239-3240 | |
| (734) 719-1555 | |
| (313) 286-3242 |
| Full Name | Infinity Counseling And Therapeutic Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 26150 5 Mile Rd Ste 33, Redford, Michigan |
| Authorized Official Name and Position | Nathifa Grace Mkate Riley (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7347191555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinity Counseling And Therapeutic Services Llc Po Box 401251 Redford MI 48240-9251 Ph: (734) 719-1555 | Infinity Counseling And Therapeutic Services Llc 26150 5 Mile Rd Ste 33 Redford MI 48239-3240 Ph: (734) 719-1555 |
| NPI Number | 1811485212 |
|---|---|
| Provider Enumeration Date | 05/01/2018 |
| Last Update Date | 12/30/2019 |
| Certification Date | 12/30/2019 |
| Medicare PECOS PAC ID | 3274883368 |
|---|---|
| Medicare Enrollment ID | O20180809005151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811485212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 68001091914 (Michigan) | Primary |
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