| Michigan Mental Health Services, Llc | |
|
735 Union St Milford MI 48381-1688 | |
| (248) 802-6038 | |
| Not Available |
| Full Name | Michigan Mental Health Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 735 Union St, Milford, Michigan |
| Authorized Official Name and Position | Melissa Tiffany Bishop (PRESIDENT) |
| Authorized Official Contact | 2488026038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Mental Health Services, Llc 735 Union St Milford MI 48381-1688 Ph: (248) 802-6038 | Michigan Mental Health Services, Llc 735 Union St Milford MI 48381-1688 Ph: (248) 802-6038 |
| NPI Number | 1821351743 |
|---|---|
| Provider Enumeration Date | 06/18/2012 |
| Last Update Date | 07/18/2012 |
| Medicare PECOS PAC ID | 6608032156 |
|---|---|
| Medicare Enrollment ID | O20120727000160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821351743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801088141 (Michigan) | Primary |
| Provider Name | Melissa T Bishop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346517430 PECOS PAC ID: 0042476590 Enrollment ID: I20120727000185 |
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