| Komraus Compassionate Counseling Pllc | |
|
47100 Schoenherr Rd Ste B Shelby Twp MI 48315-4716 | |
| (586) 243-6655 | |
| (586) 737-7057 |
| Full Name | Komraus Compassionate Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 47100 Schoenherr Rd, Shelby Twp, Michigan |
| Authorized Official Name and Position | Bernice Eleanor Komraus (PRESIDENT) |
| Authorized Official Contact | 5862436655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Komraus Compassionate Counseling Pllc 368 Scone Dr Troy MI 48098-1734 Ph: (586) 243-6655 | Komraus Compassionate Counseling Pllc 47100 Schoenherr Rd Ste B Shelby Twp MI 48315-4716 Ph: (586) 243-6655 |
| NPI Number | 1053748814 |
|---|---|
| Provider Enumeration Date | 10/10/2013 |
| Last Update Date | 10/10/2013 |
| Medicare PECOS PAC ID | 6800245127 |
|---|---|
| Medicare Enrollment ID | O20231212003721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053748814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401007208 (Michigan) | Primary |
| Provider Name | Bernice E Komraus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447271424 PECOS PAC ID: 2365892700 Enrollment ID: I20231227000984 |
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