| Introspective Counseling, Llc | |
|
24445 Northwestern Hwy Ste 220 Southfield MI 48075-2437 | |
| (248) 242-5545 | |
| Not Available |
| Full Name | Introspective Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 24445 Northwestern Hwy Ste 220, Southfield, Michigan |
| Authorized Official Name and Position | Jarrette Wright-booker (OWNER) |
| Authorized Official Contact | 3132075581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Introspective Counseling, Llc 24445 Northwestern Hwy Ste 220 Southfield MI 48075-2437 Ph: (313) 207-5581 | Introspective Counseling, Llc 24445 Northwestern Hwy Ste 220 Southfield MI 48075-2437 Ph: (248) 242-5545 |
| NPI Number | 1831654326 |
|---|---|
| Provider Enumeration Date | 02/08/2019 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/10/2024 |
| Medicare PECOS PAC ID | 9830631845 |
|---|---|
| Medicare Enrollment ID | O20240605003601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831654326 | NPI | - | NPPES |
| Provider Name | Jarrette Wright Booker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194104364 PECOS PAC ID: 0042753493 Enrollment ID: I20240605003630 |
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