| Lpcc, Pllc | |
|
2300 Haggerty Rd Suite 2160 West Bloomfield MI 48323-2184 | |
| (248) 859-2457 | |
| (248) 859-2473 |
| Full Name | Lpcc, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2300 Haggerty Rd, West Bloomfield, Michigan |
| Authorized Official Name and Position | Lynne Lyons (SOLE OWNER) |
| Authorized Official Contact | 2488592457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lpcc, Pllc 2300 Haggerty Rd Suite 2160 West Bloomfield MI 48323-2184 Ph: (248) 859-2457 | Lpcc, Pllc 2300 Haggerty Rd Suite 2160 West Bloomfield MI 48323-2184 Ph: (248) 859-2457 |
| NPI Number | 1740619121 |
|---|---|
| Provider Enumeration Date | 11/05/2013 |
| Last Update Date | 02/08/2015 |
| Medicare PECOS PAC ID | 8820226632 |
|---|---|
| Medicare Enrollment ID | O20140123001992 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740619121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301066200 (Michigan) | Primary |
| Provider Name | Carol V Harrington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487791901 PECOS PAC ID: 4284737040 Enrollment ID: I20070315000143 |
| Provider Name | Linda M Sherman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235147307 PECOS PAC ID: 8022114164 Enrollment ID: I20070507000014 |
| Provider Name | Lynne M Lyons |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780644880 PECOS PAC ID: 1850463704 Enrollment ID: I20080709000446 |
| Provider Name | Josephine M Salem |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184638876 PECOS PAC ID: 6002989167 Enrollment ID: I20080722000721 |
| Provider Name | Susan H Deutsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942271150 PECOS PAC ID: 8729151675 Enrollment ID: I20080725000011 |
| Provider Name | Ginger R Blair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821181975 PECOS PAC ID: 6103893441 Enrollment ID: I20100527000282 |
| Provider Name | Lisa M Coram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215197926 PECOS PAC ID: 3072687938 Enrollment ID: I20131113002111 |
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