| Michigan Institute For Behavioral Health, Llc | |
|
37799 Professional Center Dr Suite 103 Livonia MI 48154-1153 | |
| (734) 658-8088 | |
| Not Available |
| Full Name | Michigan Institute For Behavioral Health, Llc |
|---|---|
| Speciality | Counselor |
| Location | 37799 Professional Center Dr, Livonia, Michigan |
| Authorized Official Name and Position | Lisa Abela-tesner (LPC/OWNER) |
| Authorized Official Contact | 7346588088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Institute For Behavioral Health, Llc 37630 Colonial Drive Westland MI 48185 Ph: () - | Michigan Institute For Behavioral Health, Llc 37799 Professional Center Dr Suite 103 Livonia MI 48154-1153 Ph: (734) 658-8088 |
| NPI Number | 1275956674 |
|---|---|
| Provider Enumeration Date | 01/22/2014 |
| Last Update Date | 02/27/2014 |
| Medicare PECOS PAC ID | 2062749575 |
|---|---|
| Medicare Enrollment ID | O20190806004176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275956674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401011816 (Michigan) | Primary |
| Provider Name | Randy A Pierce |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578981932 PECOS PAC ID: 6507175320 Enrollment ID: I20190606002191 |
| Provider Name | Sarah M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629332879 PECOS PAC ID: 9436573474 Enrollment ID: I20200722003692 |
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