| Labyrinth Pllc | |
|
22328 Trombly St Saint Clair Shores MI 48080-1362 | |
| (313) 618-9762 | |
| Not Available |
| Full Name | Labyrinth Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 22328 Trombly St, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Derrick James Miller (OWNER) |
| Authorized Official Contact | 3136189762 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Labyrinth Pllc 22328 Trombly St Saint Clair Shores MI 48080-1362 Ph: (313) 618-9762 | Labyrinth Pllc 22328 Trombly St Saint Clair Shores MI 48080-1362 Ph: (313) 618-9762 |
| NPI Number | 1215668488 |
|---|---|
| Provider Enumeration Date | 06/20/2022 |
| Last Update Date | 06/20/2022 |
| Certification Date | 06/20/2022 |
| Medicare PECOS PAC ID | 2163891615 |
|---|---|
| Medicare Enrollment ID | O20221206001549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215668488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Derrick James Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265964209 PECOS PAC ID: 2860822392 Enrollment ID: I20200423001247 |
| Provider Name | Heather Castile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881301489 PECOS PAC ID: 2264806512 Enrollment ID: I20230328001352 |
Blue Water Counseling And Wellness Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25490 Little Mack Ave, Saint Clair Shores, MI 48081 Phone: 586-246-7837 Fax: 586-779-8146 | |
Honor First Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25801 Harper Ave, Saint Clair Shores, MI 48081 Phone: 480-463-0900 | |
Imagine Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20601 Yale St, Saint Clair Shores, MI 48081 Phone: 586-460-8830 | |
Lip Therapy And Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23550 Harper Ave, Saint Clair Shores, MI 48080 Phone: 586-330-0672 | |
Sacred Heart-st. Clair Shores Op Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19611 E 8 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-541-3550 | |
Lumen Pediatric Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 26210 Harper Ave Ste 200, Saint Clair Shores, MI 48081 Phone: 888-485-8636 Fax: 586-218-3367 | |
Eastwood Clinics Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24055 Jefferson Ave Ste 103, Saint Clair Shores, MI 48080 Phone: 586-445-2210 Fax: 586-445-0700 |