| Lewis & Mikkola Comprehensive Psychological Services Pllc | |
|
30200 Telegraph Rd Suite #402 Bingham Farms MI 48025-4502 | |
| (248) 644-3200 | |
| (248) 644-3211 |
| Full Name | Lewis & Mikkola Comprehensive Psychological Services Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 30200 Telegraph Rd, Bingham Farms, Michigan |
| Authorized Official Name and Position | Brenda James Lewis (CO-DIRECTOR) |
| Authorized Official Contact | 2486443200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis & Mikkola Comprehensive Psychological Services Pllc 30200 Telegraph Rd Suite #402 Bingham Farms MI 48025-4502 Ph: (248) 644-3200 | Lewis & Mikkola Comprehensive Psychological Services Pllc 30200 Telegraph Rd Suite #402 Bingham Farms MI 48025-4502 Ph: (248) 644-3200 |
| NPI Number | 1447421672 |
|---|---|
| Provider Enumeration Date | 03/15/2008 |
| Last Update Date | 09/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447421672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 6301002406 (Michigan) | Primary |
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