| Client Centered Management Services-community Work Choices | |
|
705 S Main St Ste 101i Plymouth MI 48170-1060 | |
| (734) 748-5796 | |
| (734) 468-0109 |
| Full Name | Client Centered Management Services-community Work Choices |
|---|---|
| Speciality | Counselor |
| Location | 705 S Main St Ste 101i, Plymouth, Michigan |
| Authorized Official Name and Position | Karen A Perez (OWNER) |
| Authorized Official Contact | 7347485796 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Client Centered Management Services-community Work Choices 46469 Killarney Cir Canton MI 48188-3501 Ph: (734) 748-5796 | Client Centered Management Services-community Work Choices 705 S Main St Ste 101i Plymouth MI 48170-1060 Ph: (734) 748-5796 |
| NPI Number | 1972180396 |
|---|---|
| Provider Enumeration Date | 03/24/2021 |
| Last Update Date | 07/07/2021 |
| Certification Date | 07/07/2021 |
| Medicare PECOS PAC ID | 6507267317 |
|---|---|
| Medicare Enrollment ID | O20210630003992 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972180396 | NPI | - | NPPES |
| 6401002271 | Other | MI | LICENSED PROFESSIONAL COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Karen A Perez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083740625 PECOS PAC ID: 9638486830 Enrollment ID: I20240228003731 |
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