| Neighborhood Counseling Serivices Corporation | |
|
1112 E 6th Street Monroe MI 48161 | |
| (734) 244-7028 | |
| (734) 244-7028 |
| Full Name | Neighborhood Counseling Serivices Corporation |
|---|---|
| Speciality | Social Worker |
| Location | 1112 E 6th Street, Monroe, Michigan |
| Authorized Official Name and Position | Paul Ogbonna Amadi (CLINICAL THERAPIST PRESIDENT) |
| Authorized Official Contact | 7342447028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborhood Counseling Serivices Corporation Po Box 2313 Monroe MI 48161 Ph: (734) 244-7028 | Neighborhood Counseling Serivices Corporation 1112 E 6th Street Monroe MI 48161 Ph: (734) 244-7028 |
| NPI Number | 1730282534 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4183622194 |
|---|---|
| Medicare Enrollment ID | O20061129000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730282534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1-03983 (Michigan) | Primary |
| 1041C0700X | Social Worker - Clinical | 6801082063 (Michigan) | Primary |
| Provider Name | Paul O Amadi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295823128 PECOS PAC ID: 3779522131 Enrollment ID: I20050426000987 |
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