| Steven Bayne | |
|
19855 Outer Dr Ste 203e Dearborn MI 48124-2146 | |
| (313) 590-5219 | |
| (313) 995-9140 |
| Full Name | Steven Bayne |
|---|---|
| Speciality | Counselor |
| Location | 19855 Outer Dr Ste 203e, Dearborn, Michigan |
| Authorized Official Name and Position | Steven Paul Bayne (OWNER) |
| Authorized Official Contact | 3135905219 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Bayne 19855 Outer Dr Ste 203e Dearborn MI 48124-2146 Ph: (313) 590-5219 | Steven Bayne 19855 Outer Dr Ste 203e Dearborn MI 48124-2146 Ph: (313) 590-5219 |
| NPI Number | 1093579963 |
|---|---|
| Provider Enumeration Date | 02/09/2024 |
| Last Update Date | 04/23/2024 |
| Certification Date | 04/23/2024 |
| Medicare PECOS PAC ID | 2466892260 |
|---|---|
| Medicare Enrollment ID | O20240426001526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093579963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Steven Paul Bayne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316070667 PECOS PAC ID: 3375983174 Enrollment ID: I20240426001680 |
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