Macomb Counseling Services, Llc | |
21400 Dogleg Dr Macomb MI 48042-4326 | |
(586) 262-7809 | |
(586) 598-7403 |
Full Name | Macomb Counseling Services, Llc |
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Speciality | Clinic/Center |
Location | 21400 Dogleg Dr, Macomb, Michigan |
Authorized Official Name and Position | Michelle L. Siev (OWNER) |
Authorized Official Contact | 5862627809 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Macomb Counseling Services, Llc 21400 Dogleg Drive Macomb MI 48042 Ph: (586) 262-7809 | Macomb Counseling Services, Llc 21400 Dogleg Dr Macomb MI 48042-4326 Ph: (586) 262-7809 |
NPI Number | 1497135453 |
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Provider Enumeration Date | 06/04/2015 |
Last Update Date | 06/04/2015 |
Medicare PECOS PAC ID | 3678923075 |
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Medicare Enrollment ID | O20231227002847 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497135453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 6401013489 (Michigan) | Primary |
Provider Name | Michelle L. Siev |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1184029860 PECOS PAC ID: 6305296708 Enrollment ID: I20231229002111 |
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