Life Freedom Counseling Llc | |
5285 Lannoo St Detroit MI 48236-2137 | |
(313) 247-2195 | |
Not Available |
Full Name | Life Freedom Counseling Llc |
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Speciality | Counselor |
Location | 5285 Lannoo St, Detroit, Michigan |
Authorized Official Name and Position | Marcas Steven Bradley (OWNER) |
Authorized Official Contact | 3133351037 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Life Freedom Counseling Llc 5285 Lannoo St Detroit MI 48236-2137 Ph: (313) 247-2195 | Life Freedom Counseling Llc 5285 Lannoo St Detroit MI 48236-2137 Ph: (313) 247-2195 |
NPI Number | 1194311696 |
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Provider Enumeration Date | 12/18/2020 |
Last Update Date | 07/25/2023 |
Certification Date | 07/25/2023 |
Medicare PECOS PAC ID | 4082052071 |
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Medicare Enrollment ID | O20240410001427 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194311696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Marcas Bradley |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1750986808 PECOS PAC ID: 0840638847 Enrollment ID: I20240410001713 |
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