| Integrated Behavioral Health Llc | |
|
17100 Silver Pkwy Ste D Fenton MI 48430-3468 | |
| (810) 208-0378 | |
| (810) 963-1917 |
| Full Name | Integrated Behavioral Health Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 17100 Silver Pkwy, Fenton, Michigan |
| Authorized Official Name and Position | Alisha Rae Mccabe (PRACTICE MANAGER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 8109221808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Behavioral Health Llc 17100 Silver Pkwy Ste D Fenton MI 48430-3468 Ph: (810) 208-0378 | Integrated Behavioral Health Llc 17100 Silver Pkwy Ste D Fenton MI 48430-3468 Ph: (810) 208-0378 |
| NPI Number | 1396386785 |
|---|---|
| Provider Enumeration Date | 10/07/2019 |
| Last Update Date | 12/12/2024 |
| Certification Date | 12/12/2024 |
| Medicare PECOS PAC ID | 0143768689 |
|---|---|
| Medicare Enrollment ID | O20240815002357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396386785 | NPI | - | NPPES |
| 1356658579 | Medicaid | MI |
| Provider Name | Alisha Rae Mccabe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356658579 PECOS PAC ID: 1052859592 Enrollment ID: I20240815002512 |
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